Active NPI
Amazing Grace Nursing Care LLC
- Home Health Agency
- Washington, DC
National Provider Identifier
1841554813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- NSA-0173
- Legal business name
- AMAZING GRACE NURSING CARE LLC
- Practice address
- 230 Longfellow Street NW
Washington, DC 20011 - Phone
- (240) 408-6204
- NPI assigned
- Jun 25, 2012
- Last updated
- Jun 25, 2012
- Organization subpart
- Yes
- Parent organization
- AMAZING GRACE NURSING CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chemo Marystella Attey Mouanjo, NURSE
- Title
- Owner
- Phone
- (240) 408-6204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NSA-0173 | DC | Primary |
Addresses
Primary practice location
230 Longfellow Street NW
Washington, DC 20011
Mailing address
230 Longfellow Street NW
Washington, DC 20011
Phone (240) 408-6204
National Provider Directory
National Provider Directory- Part of
- Amazing Grace Nursing Care LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340582400000",
"number": "1841554813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 LONGFELLOW STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20011",
"telephone_number": "240-408-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 LONGFELLOW STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20011",
"telephone_number": "240-408-6204"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING GRACE NURSING CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMAZING GRACE NURSING CARE LLC",
"enumeration_date": "2012-06-25",
"last_updated": "2012-06-25",
"status": "A",
"authorized_official_last_name": "ATTEY MOUANJO",
"authorized_official_first_name": "CHEMO",
"authorized_official_middle_name": "MARYSTELLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-408-6204",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "NSA-0173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.