Active NPI
Amazing Grace Home Care LLC
- In Home Supportive Care Agency
- Indianapolis, IN
National Provider Identifier
1568218337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- AMAZING GRACE HOME CARE LLC
- Practice address
- 4156 N Elizabeth St
Indianapolis, IN 46226-5023 - Phone
- (317) 384-9899
- NPI assigned
- Apr 24, 2024
- 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
- Mrs. Chauntina M Sims
- Title
- Ceo
- Phone
- (317) 384-9899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4156 N Elizabeth St
Indianapolis, IN 46226-5023
Mailing address
4156 N Elizabeth St
Indianapolis, IN 46226-5023
Phone (317) 384-9899
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713916800000",
"number": "1568218337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4156 N ELIZABETH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462265023",
"telephone_number": "317-384-9899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4156 N ELIZABETH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462265023",
"telephone_number": "317-384-9899"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING GRACE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "CHAUNTINA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "317-384-9899",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.