Amazing Grace Arizona Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AMAZING GRACE ARIZONA FOUNDATION

Practice address

8252 S 15TH Ave
Phoenix, AZ 85041-7806

Phone

(480) 232-6978

NPI assigned

Sep 15, 2023

Organization subpart

No

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

Authorized official

Name

Shelaire Spears

Title

Director

Phone

(404) 528-3338

Specialties & licenses 12

Addresses

Other names 1

• Amazing Grace Ranch Az Doing business as

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1548048176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 E LOCKWOOD ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8252 S 15TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850417806",
            "telephone_number": "480-232-6978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 s Estrella Pkwy",
            "address_purpose": "LOCATION",
            "city": "mesa",
            "state": "AZ",
            "postal_code": "85228",
            "country_code": "US",
            "telephone_number": "480-232-6978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "719 E Pepper Pl",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852038747",
            "country_code": "US",
            "telephone_number": "480-232-6978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMAZING GRACE ARIZONA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "SPEARS",
        "authorized_official_first_name": "SHELAIRE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-528-3338"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Grace Ranch Az",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Amaya
• Esai Amaya, BHT
• Georgina Amaya, FNP
• Mariana Amaya, M.D.
• Stephanie Irene Amaya, MD
• Amazing Life Medical Services, LLC
• Amazon Air Purification LLC
• Amb Transcare LLC
• Ambition Life Skills PLLC
• Karianne Helen Ambler, AU.D.

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.