# AMAZING HOMECARE HEALTH SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMAZING HOMECARE HEALTH SERVICES, LLC
- **Other names:** Amazing Homecare Therapy Services, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154183374
- **Legal business name:** AMAZING HOMECARE HEALTH SERVICES, LLC
- **Authorized official:** ROBERT MESIDOR (OWNER)
- **Authorized official phone:** (202) 486-7509

## Contact information

- **Practice address:** 12401 BRICKYARD BLVD APT 3108, BELTSVILLE, MD 20705-1648
- **Practice address phone:** (202) 486-7509
- **Mailing address:** 12401 BRICKYARD BLVD APT 3108, BELTSVILLE, MD 20705-1648
- **Mailing address phone:** (240) 821-2411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224ZE0001X | Environmental Modification Occupational Therapy Assistant | — | NULL | — |
| 224ZE0001X | Environmental Modification Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/31/2024