Organization Active NPI

Amazing Grace Home Care Services, Inc

  • Home Health Agency
  • Macon, GA
National Provider Identifier
1871913145
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011-R-1239 Issued in GA
Legal business name
AMAZING GRACE HOME CARE SERVICES, INC
Practice address
2449 Vineville Ave Ste 7
Macon, GA 31204-2955
Phone
(478) 746-1133
Fax
(478) 746-9933
NPI assigned
Apr 24, 2014
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Ronda Marable Carson
Title
Owner/Administrator
Phone
(704) 458-0314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011-R-1239 GA Primary

Addresses

Primary practice location

2449 Vineville Ave Ste 7
Macon, GA 31204-2955

Mailing address

2449 Vineville Ave Ste 7
Macon, GA 31204-2955
Phone (478) 746-1133

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1871913145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 VINEVILLE AVE STE 7",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042955",
            "telephone_number": "478-746-1133",
            "fax_number": "478-746-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 VINEVILLE AVE STE 7",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042955",
            "telephone_number": "478-746-1133",
            "fax_number": "478-746-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE HOME CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "MARABLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "704-458-0314"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "011-R-1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.