Amazing Grace Personal Care Service, Inc
Organization Active NPI In Home Supportive Care Agency · Rio Rancho, NM
NPI 1164638565 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1164638565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- AMAZING GRACE PERSONAL CARE SERVICE, INC
- Practice address
- 4131 Barbara Loop SE # 2D
Rio Rancho, NM 87124-1362 - Phone
- (505) 796-4900
- Fax
- (505) 896-4513
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Tom Crider, M. DIV
- Title
- Owner
- Phone
- (505) 796-4900
National Provider Directory
Locations
1613 S Second St
Gallup, NM 87301
Phone (505) 863-5898
4131 Barbara Loop SE
#2D
Rio Rancho, NM 87124
Phone (505) 796-4900
4131 Barbara Loop SE
#D2
Rio Rancho, NM 87124
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes | ||
| Personal Care Attendant |
3747P1801X |
Addresses
Primary practice location
4131 Barbara Loop SE # 2D
Rio Rancho, NM 87124-1362
Mailing address
4131 Barbara Loop SE # 2D
Rio Rancho, NM 87124-1362
Phone (505) 863-5898
Other practice location 1
1613 South 2nd Street
Gallup, NM 57301-5816
Phone (505) 863-5898
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62985736 | Medicaid | NM |
Other providers in Rio Rancho, NM
- Nicole Allen
- Allied Physicians Clinic, Inc.
- Maria Barbara Aloi
- Julee Lynn Amador
- Amazing Grace Enterprises, Inc
- Paul J Ameduri
- Amethyst Psychiatry and Wellness Clinic
- Nicholas Amirante
- Ammjo Care Services
- Ana Rio Rancho LTD Co
All providers in Rio Rancho, NM · In Home Supportive Care Agency in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.