Organization Active NPI

Amazing Grace Home Health LLC

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1659816726
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAZING GRACE HOME HEALTH LLC
Practice address
3159 Fee Fee Rd
Suite 221
Bridgeton, MO 63044-3299
Phone
(314) 497-7518
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Ms. Ava Johnson
Title
Executive Directr
Phone
(314) 458-6727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3159 Fee Fee Rd
Suite 221
Bridgeton, MO 63044-3299

Mailing address

3159 Fee Fee Rd
Suite 221
Bridgeton, MO 63044-3299
Phone (314) 497-7518

National Provider Directory

National Provider Directory

Locations

3159 Fee Fee Rd
Ste 221
Bridgeton, MO 63044
Phone (314) 497-7518

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1659816726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3159 FEE FEE RD",
            "address_2": "SUITE 221",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443299",
            "telephone_number": "314-497-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 FEE FEE RD",
            "address_2": "SUITE 221",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630443299",
            "telephone_number": "314-497-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTR",
        "authorized_official_telephone_number": "314-458-6727",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.