Amazing Grace Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMAZING GRACE HOSPICE CARE LLC

Doing business as

Amazing Grace Hospice Care LLC

Practice address

1205 Foxtail Dr
Mansfield, TX 76063-2327

Phone

(361) 695-4037

NPI assigned

Nov 14, 2024

Last updated

Nov 14, 2024By 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

Endaline Odoemene-Ugwuibe

Title

Ceo

Phone

(361) 695-4037

Specialties & licenses 1

Addresses

Other names 1

• Amazing Grace Hospice Care LLC Doing business as

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: admin@amazinggrace.com

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1255155263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 FOXTAIL DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632327",
            "telephone_number": "361-695-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 FOXTAIL DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760632327",
            "telephone_number": "361-695-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ODOEMENE-UGWUIBE",
        "authorized_official_first_name": "ENDALINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-695-4037"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@Amazinggrace.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1205 Foxtail Dr",
            "city": "Mansfield",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760632327",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Amazing Grace Hospice Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lora Catherine Altman, M.S., CCC-SLP
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• Aaron M Amos, MD
• Amy Grubbs LPC PLLC

• Community Based Hospice Care Agency in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.