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Amazing Grace Pca, LLC

Organization Active NPI In Home Supportive Care Agency · New Orleans, LA

NPI 1962889147 · NPPES record last updated Apr 27, 2015

Key facts

NPI
1962889147
Entity type
Organization (NPI type 2)
Primary specialty
In Home Supportive Care Agency 253Z00000X
License
2203782320 (LA)
Legal business name
AMAZING GRACE PCA, LLC
Practice address
7240 Crowder Blvd
Suite 203
New Orleans, LA 70127-1922
Phone
(504) 309-8190
Fax
(504) 309-8196
NPI assigned
Apr 27, 2015
Organization subpart
No

Authorized official

Name
Mrs. Delphenia Montgomery Lodiong, MBA
Title
Director
Phone
(504) 261-7602

National Provider Directory

Locations

7240 Crowder Blvd
Ste 203
New Orleans, LA 70127
Phone (504) 309-8190

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2203782320 LA
In Home Supportive Care Agency 253Z00000X HC0007481 LA
In Home Supportive Care Agency 253Z00000X 2203782320 LA Yes

Addresses

Primary practice location

7240 Crowder Blvd
Suite 203
New Orleans, LA 70127-1922

Mailing address

413 Queen Anne Dr
Slidell, LA 70460-8439
Phone (504) 261-7602

Other identifiers

IdentifierTypeStateIssuer
1026042MedicaidLA
1031305MedicaidLA

Other names

  • Amazing Grace Personal Care Service Doing business as

Other providers in New Orleans, LA

All providers in New Orleans, LA · In Home Supportive Care Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.