NPIMap

Organization Active NPI

Amazing Grace in-Home Care Agency

  • In Home Supportive Care Agency
  • Nazareth, PA
National Provider Identifier
1760144893
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMAZING GRACE IN-HOME CARE AGENCY
Practice address
532 City View Dr
Nazareth, PA 18064-1244
Phone
(973) 704-5644
NPI assigned
Oct 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Ebere Ezeanya, MDNPI 1053547919
Title
Owner
Phone
(973) 704-5644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

532 City View Dr
Nazareth, PA 18064-1244

Mailing address

532 City View Dr
Nazareth, PA 18064-1244
Phone (973) 704-5644

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drezeanya@amazinggracemedical.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1760144893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 CITY VIEW DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641244",
            "telephone_number": "973-704-5644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 CITY VIEW DR",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180641244",
            "telephone_number": "973-704-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE IN-HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "EZEANYA",
        "authorized_official_first_name": "EBERE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-704-5644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drezeanya@amazinggracemedical.com",
            "affiliation": "N",
            "endpointDescription": "drezeanya@amazinggracemedical.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "532 City View Dr",
            "city": "Nazareth",
            "state": "PA",
            "country_code": "US",
            "postal_code": "180641244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.