Amazing Grace Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12153 Issued in FL

Legal business name

AMAZING GRACE INC

Practice address

7008 Deland Ave
Fort Pierce, FL 34951-1522

Phone

(772) 882-4957

Fax

(772) 882-4957

NPI assigned

Sep 23, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Morgan Thurmond

Title

Administrator

Phone

(772) 342-7771

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1053747014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 DELAND AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349511522",
            "telephone_number": "772-882-4957",
            "fax_number": "772-882-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 DELAND AVE",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349511522",
            "telephone_number": "772-882-4957",
            "fax_number": "772-882-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "THURMOND",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-342-7771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.