Amazing Grace Alh

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

732593 Issued in AK

Legal business name

AMAZING GRACE ALH

Practice address

3444 E 16TH Ave
Anchorage, AK 99508-3037

Phone

(907) 278-0276

Fax

(907) 278-0276

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Novena Maria Jean-Marie, RN

Title

Administrator

Phone

(907) 278-0276

Specialties & licenses 1

Addresses

Other names 1

• Amazing Grace ALH Doing business as

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1700094331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 E 16TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083037",
            "telephone_number": "907-278-0276",
            "fax_number": "907-278-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 E 16TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083037",
            "telephone_number": "907-278-0276",
            "fax_number": "907-278-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE ALH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JEAN-MARIE",
        "authorized_official_first_name": "NOVENA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-278-0276",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AK",
            "license": "732593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Grace ALH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Amberg

• All providers in Anchorage, AK
• Community Based Hospice Care Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.