Amazing Star Homes Corporation

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0001120196 Issued in VA

Legal business name

AMAZING STAR HOMES CORPORATION

Practice address

861 Glenrock Rd
Suite 114
Norfolk, VA 23502-3720

Phone

(757) 819-3230

Fax

(757) 893-9266

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By 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

David O Etute

Title

Pres/Ceo

Phone

(757) 819-3230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1235686007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 GLENROCK RD",
            "address_2": "SUITE 114",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023720",
            "telephone_number": "757-819-3230",
            "fax_number": "757-893-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "861 GLENROCK RD",
            "address_2": "SUITE 114",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023720",
            "telephone_number": "757-819-3230",
            "fax_number": "757-893-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING STAR HOMES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "ETUTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRES/CEO",
        "authorized_official_telephone_number": "757-819-3230"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "VA",
            "license": "0001120196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daulet Amangeldy, M.S., M.D.
• Emelia Amankona
• Rahel Teklehaimanot Amare, MD
• Amazing Angels LLC.
• Amazing Star Group Home Corporation
• Micah Kymani Ambriz
• Amedisys Home Health of Virginia LLC (Amedisys Home Health Care)
• Sena Amegbletor
• America's Best Contacts & Eyeglasses
• American Affiliates Trucking Association LLC

• Licensed Practical Nurse in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Licensed Practical Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.