AMAZING GRACE HOME CARE LLC (NPI# 1730456575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730456575 |
| Entity Type | Organization |
| Organization Name | AMAZING GRACE HOME CARE LLC |
| Practice Address |
4825 W Beecher St Indianapolis IN 46241-4603 |
| Practice Telephone | 6142607834 |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2011-11-22 |
| Authorized Official Name | MISS ROSY ALAGBE (REGISTERED NURSE) |
| Authorized Official Telephone | 6142607834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
28198833A | IN | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588288302 | Amazing Grace Home Care LLC | Home Health | 736 Northfield Ave, West Orange, NJ 07052-1145 | 2020-06-08 |
| 1124650023 | Amazing Grace Home Care LLC | Home Health | 54 Powder View Ct, Nottingham, MD 21236-4796 | 2020-02-07 |
| 1992367379 | Amazing Grace Home Care LLC | Home Health | 411 Airbrake Ave, Wilmerding, PA 15148-1000 | 2019-07-05 |
| 1023353588 | Amazing Grace Home Care LLC | Skilled Nursing Facility | 515 E Grant St, Apt. 311, Minneapolis, MN 55404-1400 | 2012-12-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Amazing Grace Home Care LLC | 6065 N Gibralter Ct, Aurora, CO 80019 |
| Street Address |
4825 W BEECHER ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46241-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062511 | Indy Medical Trans LLC | Non-emergency Medical Transport (VAN) | 4948 W Washington St, Indianapolis, IN 46241 | 2020-10-29 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1659841880 | Dependency Medical Holdings Corporation | Family Medicine | 5600 W Bradbury Ave, Indianapolis, IN 46241 | 2018-11-30 |
| 1255872073 | Phoenix Family and Community Services, LLC | Case Management | 2346 S. Lynhurst Dr. Suite 601, Indianapolis, IN 46241 | 2017-03-13 |
| 1811022114 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 6920 Gatwick Drive, Suite 100, Indianapolis, IN 46241 | 2007-02-23 |
| 1912073107 | Kathryn Charlotte Gregor | Occupational Therapy Assistant | 5603 W Raymond St, Indianapolis, IN 46241 | 2006-11-28 |
| 1184790347 | Sandee Jo Schultheis | Physical Therapy Assistant | 5603 West Raymond St, Suite A, Indianapolis, IN 46241 | 2006-11-28 |
| 1346899077 | Lori Heusel | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-09-05 |
| 1720632227 | Nicole Anne Murphy | Counselor | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-08-01 |
| 1073173209 | Kaylee Posson | Social Worker | 5638 Professional Cir, Indianapolis, IN 46241 | 2019-06-19 |
| Find all providers in zip 46241 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
| 1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
| 1477931764 | Grace Adult Family Care LLC | Custodial Care Facility | 2947 N Colorado Ave, Indianapolis, IN 46218-3116 | 2015-05-07 |
| 1609162262 | National Mentor Healthcare, LLC | Custodial Care Facility | 8061 Folkstone Rd, Indianapolis, IN 46268-2029 | 2011-06-22 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1184922882 | National Mentor Healthcare, LLC | Custodial Care Facility | 3324 Cherry Lake Rd, Indianapolis, IN 46235-8909 | 2011-03-03 |
| 1124325790 | National Mentor Healthcare, LLC | Custodial Care Facility | 9901 Pendleton Pike, Lot 32, Indianapolis, IN 46236-2886 | 2011-02-17 |
| 1255635066 | Grimes Management Services, Inc. | Custodial Care Facility | 101 W Troy Ave, Indianapolis, IN 46225-2343 | 2011-01-07 |
| 1669781399 | National Mentor Healthcare, LLC | Custodial Care Facility | 602 Parkway Ave, Indianapolis, IN 46203-1840 | 2010-09-29 |
| 1023157559 | Eric Lamont Sanders | Custodial Care Facility | 4904 Hillside Ave, Indianapolis, IN 46205-1442 | 2007-02-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.