Organization Active NPI

Amazing Grace Behavioral Health Center LLC

  • Community/Behavioral Health Agency
  • Portsmouth, OH
National Provider Identifier
1629888441
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZING GRACE BEHAVIORAL HEALTH CENTER LLC
Practice address
802 Clare Ave
Portsmouth, OH 45662-2583
Phone
(740) 876-8449
NPI assigned
Jan 13, 2025
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
AMAZING GRACE CENTER INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Rose Onyinyechi Uradu, MD
Title
Medical Director
Phone
(740) 876-8449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

802 Clare Ave
Portsmouth, OH 45662-2583

Mailing address

802 Clare Ave
Portsmouth, OH 45662-2583
Phone (740) 876-8449

National Provider Directory

National Provider Directory
Part of
Amazing Grace Center Inc

Locations

802 Clare Ave
Portsmouth, OH 45662
Phone (740) 876-8449

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1629888441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "740-876-8449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 CLARE AVE",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456622583",
            "telephone_number": "740-876-8449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE BEHAVIORAL HEALTH CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMAZING GRACE CENTER INC",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "URADU",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "ONYINYECHI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "740-876-8449",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.