Amazing Grace Palliative and Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AMAZING GRACE PALLIATIVE AND HOSPICE CARE LLC

Practice address

107 Robin LN
Forney, TX 75126-4774

Phone

(972) 763-6220

Fax

(877) 600-2919

NPI assigned

Jun 29, 2016

Organization subpart

No

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

Authorized official

Name

Jayan Varughese

Title

Manager

Phone

(972) 763-6220

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1902257066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 WINCHESTER DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565556",
            "telephone_number": "972-763-6220",
            "fax_number": "877-600-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 ROBIN LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751264774",
            "telephone_number": "972-763-6220",
            "fax_number": "877-600-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE PALLIATIVE AND HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "VARUGHESE",
        "authorized_official_first_name": "JAYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-763-6220"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Forney, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.