Organization Active NPI

Amazing Grace Nursing Services, Inc

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1669519773
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
673136 Issued in TX
Legal business name
AMAZING GRACE NURSING SERVICES, INC
Practice address
4220 Cartwright Rd Ste 1005
Missouri City, TX 77459-5315
Phone
(713) 484-7555
Fax
(713) 484-6318
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Tiamiyu Tajudeen
Title
Alt Administrator
Phone
(713) 484-7555

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 673136 TX Primary
Home Health Agency 251E00000X 1815300 TX
Home Health Agency 251E00000X 001014681 TX
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

4220 Cartwright Rd Ste 1005
Missouri City, TX 77459-5315

Mailing address

8200 Wednesbury LN
265
Houston, TX 77074-2925
Phone (713) 484-7555

Other identifiers 2

IdentifierTypeStateIssuer
181530001OtherTXCASE MANAGEMENT
001014681MedicaidTX

Other names 1

  • AMAZING GRACE NURSING SERVICES INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000729 TX Part A Provider - Home Health Agency 9234140922 Practice locations: Missouri City, TX

Home health agency certification: CCN 673136

Legal name
AMAZING GRACE NURSING SERVICES, INC
Doing business as
AMAZING GRACE NURSING SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 3, 2005
Last certification
Feb 4, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 6, 2006 in TX
Enrollment address
4220 Cartwright Rd
Ste 1005
Missouri City, TX 77459-5315

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amazing Grace Nursing Services IncCCN 673136
Ownership
Proprietary
Certified
Mar 3, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1024775Amazing Grace Nursing Services Inc4220 Cartwright Road Suite 1005, Missouri City, TX 77459Certificate of waiverApr 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Amazing Grace Nursing Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8200 Wednesbury Ln
Ste 265
Houston, TX 77074
Phone (713) 484-7555

9720 Beechnut St
Ste 120
Houston, TX 77036
Phone (713) 484-7555

4220 Cartwright Rd
Ste 1005
Missouri City, TX 77459
Phone (713) 484-7555

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tiamiyu Tajudeen Individual 5% Or Greater Direct Ownership Interest Jan 4, 2012
W-2 Managing Employee May 9, 2006
Sheri Tajudeen Individual 5% Or Greater Direct Ownership Interest Mar 6, 2006
Corporate Officer Jan 4, 2012
W-2 Managing Employee Mar 6, 2006

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1669519773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN",
            "address_2": "265",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742925",
            "telephone_number": "713-484-7555",
            "fax_number": "713-484-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 1005",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595315",
            "telephone_number": "713-484-7555",
            "fax_number": "713-484-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE NURSING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "TAJUDEEN",
        "authorized_official_first_name": "TIAMIYU",
        "authorized_official_title_or_position": "ALT ADMINISTRATOR",
        "authorized_official_telephone_number": "713-484-7555"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "673136",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "1815300",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "001014681",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASE MANAGEMENT",
            "identifier": "181530001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014681",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING GRACE NURSING SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "AMAZING GRACE NURSING SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Missouri City, TX

Sources for this page

Verify at the official NPI Registry.