Organization Active NPI

Amazing Homecare and Nursing Services,LLC

  • Home Health Agency
  • Eden Prairie, MN
National Provider Identifier
1629409636
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAZING HOMECARE AND NURSING SERVICES,LLC
Practice address
6440 Flying Cloud Dr Ste 114
Eden Prairie, MN 55344-3321
Phone
(952) 884-1800
Fax
(844) 829-7747
NPI assigned
Dec 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Mrs. Regine W Ndifor-Ajaga, RN
Title
Administrator
Phone
(617) 413-4952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6440 Flying Cloud Dr Ste 114
Eden Prairie, MN 55344-3321

Mailing address

6440 Flying Cloud Dr Ste 114
Eden Prairie, MN 55344-3321
Phone (952) 884-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1629409636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 FLYING CLOUD DR STE 114",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443321",
            "telephone_number": "952-884-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 FLYING CLOUD DR STE 114",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443321",
            "telephone_number": "952-884-1800",
            "fax_number": "844-829-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING HOMECARE AND NURSING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "NDIFOR-AJAGA",
        "authorized_official_first_name": "REGINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "617-413-4952",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.