Organization Active NPI

Amazing Care Systems Inc

  • Family Nurse Practitioner
  • Calumet City, IL
National Provider Identifier
1740552298
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AMAZING CARE SYSTEMS INC
Practice address
400 River Oaks Dr
Calumet City, IL 60409-5832
Phone
(708) 933-6556
Fax
(708) 933-6556
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Beauty Yibo Bernard-Jumbo, APNNPI 1649596982
Title
Ceo/Owner
Phone
(708) 933-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1011264 IL
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

400 River Oaks Dr
Calumet City, IL 60409-5832

Mailing address

400 River Oaks Dr
Calumet City, IL 60409-5832
Phone (708) 933-6556

Other names 1

  • Amazing Care Systems INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240301003247 IL Part B Supplier - Clinic/Group Practice 3870747926 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Calumet City, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1740552298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVER OAKS DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095832",
            "telephone_number": "708-933-6556",
            "fax_number": "708-933-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RIVER OAKS DR",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095832",
            "telephone_number": "708-933-6556",
            "fax_number": "708-933-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "BERNARD-JUMBO",
        "authorized_official_first_name": "BEAUTY",
        "authorized_official_middle_name": "YIBO",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "708-933-6556",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1011264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Care Systems INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amazing Care Systems INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Calumet City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.