Organization Active NPI

Amazing Grace Home Healthcare LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1861548703
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMAZING GRACE HOME HEALTHCARE LLC
Practice address
1801 N Tryon St
Ste B 329
Charlotte, NC 28206-2793
Phone
(704) 405-3377
Fax
(704) 405-3379
NPI assigned
Jan 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Authorized official

Name
Ms. Latrisha R Huntley
Title
Director
Phone
(704) 405-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1801 N Tryon St
Ste B 329
Charlotte, NC 28206-2793

Mailing address

1801 N Tryon St
Ste B 329
Charlotte, NC 28206-2793
Phone (704) 405-3377

Other identifiers 1

IdentifierTypeStateIssuer
6601608MedicaidNC

National Provider Directory

National Provider Directory

Locations

1801 N Tryon St
Ste B329
Charlotte, NC 28206
Phone (704) 405-3377

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1861548703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "STE B 329",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062793",
            "telephone_number": "704-405-3377",
            "fax_number": "704-405-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N TRYON ST",
            "address_2": "STE B 329",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062793",
            "telephone_number": "704-405-3377",
            "fax_number": "704-405-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "HUNTLEY",
        "authorized_official_first_name": "LATRISHA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-405-3377",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601608",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.