Amazing Care Group, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

AMAZING CARE GROUP, INC.

Practice address

18350 Kedzie Ave Ste 204
Homewood, IL 60430-2759

Phone

(708) 991-7868

Fax

(708) 991-2253

NPI assigned

Jun 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. David Ebom

Title

Administrator

Phone

(708) 991-7868

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1831769355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302759",
            "telephone_number": "708-991-7868",
            "fax_number": "708-991-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 KEDZIE AVE STE 204",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302759",
            "telephone_number": "708-991-7868",
            "fax_number": "708-991-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "EBOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-991-7868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.