NPIMap

Organization Active NPI

Amazing Homecare Health Services, LLC

Doing business as Amazing Homecare Therapy Services, LLC

  • Physical Therapist
  • Beltsville, MD
National Provider Identifier
1154183374
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AMAZING HOMECARE HEALTH SERVICES, LLC
Doing business as
Amazing Homecare Therapy Services, LLC
Practice address
12401 Brickyard Blvd Apt 3108
Beltsville, MD 20705-1648
Phone
(202) 486-7509
NPI assigned
Jan 24, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
AMAZING HOMECARE HEALTH SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Mesidor
Title
Owner
Phone
(202) 486-7509

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Speech-Language Pathologist 235Z00000X
Environmental Modification Occupational Therapy Assistant 224ZE0001X

Addresses

Primary practice location

12401 Brickyard Blvd Apt 3108
Beltsville, MD 20705-1648

Mailing address

12401 Brickyard Blvd Apt 3108
Beltsville, MD 20705-1648
Phone (240) 821-2411

Other names 1

  • Amazing Homecare Therapy Services, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amazing Homecare Health Services LLC2 organizations share this tax ID, including this one
Part of
Amazing Homecare Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1154183374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12401 BRICKYARD BLVD APT 3108",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051648",
            "telephone_number": "240-821-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 BRICKYARD BLVD APT 3108",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051648",
            "telephone_number": "202-486-7509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOMECARE HEALTH SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMAZING HOMECARE HEALTH SERVICES, LLC",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A",
        "authorized_official_last_name": "MESIDOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-486-7509"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Homecare Therapy Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beltsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.