Amazing Grace Treatment Center Therapeutic Care, LLC.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.

Practice address

17 Indiana Ave
Dayton, OH 45410-2307

Phone

(937) 231-8773

NPI assigned

Apr 6, 2026

Organization subpart

No

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

Authorized official

Name

Ms. Tyes'a Nelloms, QMHS, ADNNPI 1063041309

Title

Program Manager

Phone

(937) 231-8773

Specialties & licenses 3

Addresses

Practitioners 1

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

• Tyesa Nelloms

  • Case Manager/Care Coordinator
  • Dayton, OH
  • NPI 1063041309
  NPD Authorized official

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1124960653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W 1ST ST APT 905",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454023055",
            "telephone_number": "937-231-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INDIANA AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454102307",
            "telephone_number": "937-231-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "NELLOMS",
        "authorized_official_first_name": "TYES'A",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "937-231-8773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "QMHS, ADN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nicholas Amaya, CAA
• Amazing Grace Treatment Center, Inc.
• Amazing Hands Home Care LLC
• Colton Amberger, DO
• Ambers First Choice Home Health, LLC
• Julianne Aviles Ambion

• Case Management Agency in Dayton, OH
• Providers in Dayton, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.