Amazing Care

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

20071120154 Issued in DE

Legal business name

AMAZING CARE

Practice address

310 Connor Blvd
Bear, DE 19701-1742

Phone

(302) 832-3448

Fax

(302) 832-3248

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By 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

Mrs. Edima Johnson Idemeto

Title

Director

Phone

(302) 218-3400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1245411073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CONNOR BLVD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011742",
            "telephone_number": "302-832-3448",
            "fax_number": "302-832-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CONNOR BLVD",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011742",
            "telephone_number": "302-832-3448",
            "fax_number": "302-832-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "IDEMETO",
        "authorized_official_first_name": "EDIMA",
        "authorized_official_middle_name": "JOHNSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-218-3400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "DE",
            "license": "20071120154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bear, DE
• Providers in Bear, DE by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.