Amazing Grace Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AMAZING GRACE HOME CARE LLC

Doing business as

Amazing Grace Home Care

Practice address

829 Front St Unit H
Georgetown, SC 29440-3564

Phone

(843) 698-0684

Fax

(843) 698-0825

NPI assigned

Jan 3, 2022

Last updated

Jan 3, 2022By 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

Mansi Shah

Title

President

Phone

(732) 522-3724

Specialties & licenses 1

Addresses

Other names 1

• AMAZING GRACE HOME CARE Doing business as

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1114688058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 INDIGO BAY CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295793684",
            "telephone_number": "732-522-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 FRONT ST UNIT H",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294403564",
            "telephone_number": "843-698-0684",
            "fax_number": "843-698-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MANSI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-522-3724"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING GRACE HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cecilia D Aduako, MD
• Advanced Chiropractic Center
• Allouch Optometry
• Genene Alston, CPT
• Blakely R. Altman, L.M.T.
• Amputee and Brace CLNC in
• David R Anderson, MD
• Michelle Annicchiarico
• Joseph Annichiarico, D.O.
• Apex Professional Care

• In Home Supportive Care Agency in Georgetown, SC
• Providers in Georgetown, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.