Organization Active NPI

Amazing Care Support Services, Inc

  • Home Health Aide
  • Raleigh, NC
National Provider Identifier
1811522188
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
AMAZING CARE SUPPORT SERVICES, INC
Practice address
8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965
Phone
(919) 609-0662
Fax
(919) 855-9477
NPI assigned
Mar 7, 2020
Last updated
Mar 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Authorized official

Name
Mr. Augustine Imoh
Title
President
Phone
(919) 609-0662

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Home Health AideGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

8601 Six Forks Rd Ste 400
Raleigh, NC 27615-2965

Mailing address

6924 Fox Haven PL
Raleigh, NC 27616-6384
Phone (919) 609-0662

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1583539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583539200000",
    "number": "1811522188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6924 FOX HAVEN PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276166384",
            "telephone_number": "919-609-0662",
            "fax_number": "919-855-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 SIX FORKS RD STE 400",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152965",
            "telephone_number": "919-609-0662",
            "fax_number": "919-855-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-07",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A",
        "authorized_official_last_name": "IMOH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-609-0662",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.