Amber Grace Outreach Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMBER GRACE OUTREACH SERVICES, LLC

Practice address

9291 Laurel Grove Rd Ste 210a
Mechanicsville, VA 23116-2969

Phone

(804) 839-5315

NPI assigned

Nov 27, 2024

Organization subpart

No

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

Authorized official

Name

Jeremy Lamont HardenNPI 1780034645

Title

Ceo

Phone

(804) 839-5315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeremy Lamont Harden

  • Non-emergency Medical Transport (VAN)
  • North Chesterfield, VA
  • NPI 1780034645
  NPD Authorized official

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1396561940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9291 LAUREL GROVE RD STE 210A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162969",
            "telephone_number": "804-839-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9291 LAUREL GROVE RD STE 210A",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162969",
            "telephone_number": "804-839-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER GRACE OUTREACH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-839-5315"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Alvarez, LPTA
• Avery Amabile
• Michael J Ambrose
• Amedisys Home Health, Inc. of Virginia
• Alicia Lynne Ancarrow, PT
• Larry Anderegg, RPH
• Andrew Stephen Anderson Jr., M.D.

• Community/Behavioral Health Agency in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.