Organization Active NPI

Amazing Grace Hospice Inc

  • Community Based Hospice Care Agency
  • Mesquite, TX
National Provider Identifier
1811215908
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 13, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.