Active NPI
Amazing Grace Nursing Services, Inc
- Home Health Agency
- Missouri City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 673136
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 673136 | TX | Primary |
| Home Health Agency | 251E00000X | 1815300 | TX | |
| Home Health Agency | 251E00000X | 001014681 | TX | |
| Adult Companion | 372600000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181530001 | Other | TX | CASE MANAGEMENT |
| 001014681 | Medicaid | TX |
Other names 1
- AMAZING GRACE NURSING SERVICES INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- Proprietary
- Certified
- Mar 3, 2005
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1024775 | Amazing Grace Nursing Services Inc | Certificate of waiver | Apr 20, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Amazing Grace Nursing Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Houston, TX
- NPI 1750334934
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Tiamiyu Tajudeen | 5% Or Greater Direct Ownership Interest | Jan 4, 2012 | |
| W-2 Managing Employee | May 9, 2006 | ||
| Sheri Tajudeen | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.