Active NPI
Amazing Grace Adult Day Care and in-Home Services
- Adult Day Care Clinic/Center
- West Point, MS
National Provider Identifier
1245988898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- AMAZING GRACE ADULT DAY CARE AND IN-HOME SERVICES
- Practice address
- 7141 Highway 45 Alt N
West Point, MS 39773-9444 - Phone
- (662) 524-4319
- Fax
- (662) 524-4396
- NPI assigned
- Mar 14, 2022
- Last updated
- Mar 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Shelia V Kendrick, REGISTERED NURSE
- Title
- Ceo
- Phone
- (662) 295-6406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| Nursing Care Agency | 251J00000X | NU | ||
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
7141 Highway 45 Alt N
West Point, MS 39773-9444
Mailing address
7141 Highway 45 Alt N
West Point, MS 39773-9444
Phone (662) 524-4319
National Provider Directory
National Provider DirectoryLocations
7141 Highway 45 Alt N
West Point, MS 39773
Phone (662) 524-4319
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1245988898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7141 HIGHWAY 45 ALT N",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397739444",
"telephone_number": "662-524-4319",
"fax_number": "662-524-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7141 HIGHWAY 45 ALT N",
"city": "WEST POINT",
"state": "MS",
"postal_code": "397739444",
"telephone_number": "662-524-4319",
"fax_number": "662-524-4396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING GRACE ADULT DAY CARE AND IN-HOME SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-14",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "KENDRICK",
"authorized_official_first_name": "SHELIA",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "662-295-6406",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.