Amazing Healthcare Clinic Corporation – Clinic/Center

Key facts

NPI: 1154966646
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 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
Organization subpart: No

Authorized official

Name: Bosede M Adeleye, NP
Title: Provider
Phone: (301) 512-9449

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Bosede M Adeleye, PMHNP Psychiatric/Mental Health Nurse Practitioner · Riverdale, MD · NPI 1659629798

Medicare reassignment Care Compare group DC
John Adelaja Adeleye, CRNP-PMH Psychiatric/Mental Health Nurse Practitioner · Riverdale, MD · NPI 1780332106

Medicare reassignment Care Compare group DC

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20200826003973	DC	Part B Supplier - Clinic/Group Practice	6002233756	Receives reassigned benefits from 2 practitioners Practice locations: Hyattsville, MD

National Provider Directory

Locations

6495 New Hampshire Ave
#A203
Hyattsville, MD 20783
Phone (301) 798-5583

6495 New Hampshire Ave
Ste A203
Hyattsville, MD 20783

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X
Clinic/Center	261Q00000X			Yes

Addresses

Primary practice location

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

Mailing address

6495 New Hampshire Ave # A203
Hyattsville, MD 20783-3245
Phone (301) 798-5583

Other providers in Hyattsville, MD

All providers in Hyattsville, MD · Clinic/Center in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.