Amazing Healthcare Clinic Corporation

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AMAZING HEALTHCARE CLINIC CORPORATION

Practice address

6495 New Hampshire Ave # A203
Hyattsville, MD 20783-3245

Phone

(301) 798-5583

NPI assigned

Nov 8, 2019

Last updated

Nov 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bosede M Adeleye, NPNPI 1659629798

Title

Provider

Phone

(301) 512-9449

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bosede M Adeleye, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, MD
  • NPI 1659629798

  DC

  Medicare reassignment Care Compare group Authorized official
• John Adelaja Adeleye, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverdale, MD
  • NPI 1780332106

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1154966646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE # A203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-798-5583",
            "fax_number": "301-798-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 NEW HAMPSHIRE AVE # A203",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207833245",
            "telephone_number": "301-798-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HEALTHCARE CLINIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "ADELEYE",
        "authorized_official_first_name": "BOSEDE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-512-9449",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senna Almashat
• Folake Aloba, CRNP
• Amazing Grace Health, LLC
• Amazing Healthcare Clinic
• Amazing Healthcare Clinic Corporation
• Amazing Healthcare Clinic Corporation
• Amazing Healthcare Clinic Corporation
• Amazing Healthcare Clinic Corporation
• Amazing Healthcare Clinic Corporation
• Amazing Healthcare Clinic Corporation

• Clinic/Center in Hyattsville, MD
• Providers in Hyattsville, MD by specialty
• Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.