Amazing Grace Residencial Services LLC

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

AMAZING GRACE RESIDENCIAL SERVICES LLC

Practice address

522 Smiley Ave
Cincinnati, OH 45246-2220

Phone

(513) 807-7950

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Rolande Tiemeni

Title

Owner

Phone

(513) 807-7950

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AMAZING GRACE RESIDENCIAL SERVICES LLC Doing business as

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1104525393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SMILEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462220",
            "telephone_number": "513-807-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 SMILEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452462220",
            "telephone_number": "513-807-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE RESIDENCIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "TIEMENI",
        "authorized_official_first_name": "ROLANDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-807-7950"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING GRACE RESIDENCIAL SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Amatangelo, MD
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• Paola Marcela Amaya de Lopez, MD
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• Alexis Renee Amberger
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• Nicholas Ambrosino, PHARMD
• Ambucare Transportation

• PACE Provider Organization in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• PACE Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.