Amazing Grace Care Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO161317 Issued in VA

Legal business name

AMAZING GRACE CARE SERVICES INC.

Practice address

4216 Evergreen LN
#133
Annandale, VA 22003-3243

Phone

(703) 955-4913

Fax

(571) 327-5616

NPI assigned

Aug 5, 2015

Organization subpart

No

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

Authorized official

Name

Josephine Andrews-Egyri

Title

Administrator

Phone

(703) 955-4913

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1952787509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN",
            "address_2": "#133",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033243",
            "telephone_number": "703-955-4913",
            "fax_number": "571-327-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 EVERGREEN LN",
            "address_2": "#133",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033243",
            "telephone_number": "703-955-4913",
            "fax_number": "571-327-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDREWS-EGYRI",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-955-4913"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO161317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.