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Organization Active NPI

Amazing Grace Pca, LLC

Doing business as Amazing Grace Personal Care Service

  • In Home Supportive Care Agency
  • New Orleans, LA
National Provider Identifier
1962889147
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203782320 Issued in LA
Legal business name
AMAZING GRACE PCA, LLC
Doing business as
Amazing Grace Personal Care Service
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
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

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

Specialties & licenses 3

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 Primary

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 names 1

  • Amazing Grace Personal Care Service Doing business as

National Provider Directory

National Provider Directory

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1962889147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 QUEEN ANNE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704608439",
            "telephone_number": "504-261-7602",
            "fax_number": "504-248-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 CROWDER BLVD",
            "address_2": "SUITE 203",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701271922",
            "telephone_number": "504-309-8190",
            "fax_number": "504-309-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE PCA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "LODIONG",
        "authorized_official_first_name": "DELPHENIA",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-261-7602",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "2203782320",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "HC0007481",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203782320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Grace Personal Care Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.