Amazing Grace Community Support LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

AMAZING GRACE COMMUNITY SUPPORT LLC

Doing business as

Amazing Grace Community Support LLC

Practice address

186 Kettlebrook Dr
Mount Laurel, NJ 08054-2672

Phone

(562) 507-3173

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Doris Ifunanya Ojukwu

Title

Ceo

Phone

(562) 507-3173

Specialties & licenses 1

Addresses

Other names 1

• Amazing Grace Community Support LLC Doing business as

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1972373272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "186 KETTLEBROOK DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542672",
            "telephone_number": "562-507-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 KETTLEBROOK DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542672",
            "telephone_number": "562-507-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING GRACE COMMUNITY SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "OJUKWU",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "IFUNANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-507-3173"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazing Grace Community Support LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmentally Disabled Services Day Training Agency in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Developmentally Disabled Services Day Training Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.