Active NPI
Amazing Grace Hospice Inc
- Community Based Hospice Care Agency
- Mesquite, TX
National Provider Identifier
1811215908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AMAZING GRACE HOSPICE INC
- Practice address
- 4675 Interstate 30
Mesquite, TX 75150-2428 - Phone
- (214) 734-5659
- Fax
- (187) 773-4565
- NPI assigned
- May 13, 2010
- 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
- Jojy Koshy
- Title
- Owner
- Phone
- (214) 734-5659
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4675 Interstate 30
Mesquite, TX 75150-2428
Mailing address
4675 Interstate 30
Mesquite, TX 75150-2428
Phone (214) 734-5659
National Provider Directory
National Provider DirectoryLocations
4675 Interstate 30
Mesquite, TX 75150
Phone (214) 734-5659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273708800000",
"number": "1811215908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4675 INTERSTATE 30",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502428",
"telephone_number": "214-734-5659",
"fax_number": "187-773-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4675 INTERSTATE 30",
"city": "MESQUITE",
"state": "TX",
"postal_code": "751502428",
"telephone_number": "214-734-5659",
"fax_number": "187-773-4565"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING GRACE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-13",
"last_updated": "2010-05-13",
"status": "A",
"authorized_official_last_name": "KOSHY",
"authorized_official_first_name": "JOJY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-734-5659"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.