Amazing Grace 1 Afh LCC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

AMAZING GRACE 1 AFH LCC

Practice address

2304 E 60TH Ave
Spokane, WA 99223-6902

Phone

(469) 456-2804

Fax

(509) 315-8899

NPI assigned

Dec 14, 2021

Organization subpart

No

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

Authorized official

Name

Grace W Kiambuthia, RN,BSNNPI 1104326651

Title

RN, BSN

Phone

(469) 456-2804

Specialties & licenses 1

Addresses

Tax ID family

Amazing Grace 1 Afh LCC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amazing Grace 1 Afh LCC

  • Adult Care Home Facility
  • Spokane, WA
  • NPI 1194486282
  NPD tax ID

Practitioners 1

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

• Grace Wairimu Kiambuthia

  • Registered Nurse
  • Spokane, WA
  • NPI 1104326651
  NPD Authorized official

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1003575309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 E 60TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236902",
            "telephone_number": "469-456-2804",
            "fax_number": "509-315-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E 60TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992236902",
            "telephone_number": "469-456-2804",
            "fax_number": "509-315-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE 1 AFH LCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "KIAMBUTHIA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "RN, BSN",
        "authorized_official_telephone_number": "469-456-2804",
        "authorized_official_credential": "RN,BSN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amalaika Adult Family Home LLC
• Sara Aman Martin
• Amanda Clemons Parenting & Therapy
• Christie Amans
• Jessica Anne Amaro
• Amazing Grace 1 Afh LCC
• Ambassador Adult Family Home LLC
• Michael Amendola
• Nicole Ament
• Carlo America

• Registered Nurse in Spokane, WA
• Providers in Spokane, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.