AMAZING GRACE HOME CARE SERVICES, INC (NPI# 1871913145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871913145 |
| Entity Type | Organization |
| Organization Name | AMAZING GRACE HOME CARE SERVICES, INC |
| Practice Address |
2449 Vineville Ave Ste 7 Macon GA 31204-2955 |
| Practice Telephone | 4787461133 |
| Practice Fax Number | 4787469933 |
| Mailing Telephone | 4787461133 |
| Mailing Fax Number | 4787469933 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | RONDA MARABLE CARSON (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7044580314 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 011-R-1239 | GA | Agencies |
| Street Address |
2449 VINEVILLE AVE STE 7 |
| City | MACON |
| State | GA |
| Zip Code | 31204-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942775085 | Amy Lynn Miller | Counselor | 890 Northwoods Plaza/burrus Road, Macon, GA 31204 | 2018-10-04 |
| 1275056566 | Kenyada Moss | Counselor | 762 Thurmond Dr., Macon, GA 31204 | 2017-07-19 |
| 1508303876 | Amber Foster | Counselor | 890 Northwoods Plaza, Macon, GA 31204 | 2017-01-25 |
| 1952757585 | Sarah Vanselous Spencer | Speech-Language Pathologist | 2720 Sheraton Dr # D-140, Macon, GA 31204 | 2016-05-12 |
| 1952706343 | Matthew Wayne Frazier | Pharmacist | 4260 Log Cabin Dr, Macon, GA 31204 | 2014-10-28 |
| 1215338587 | Sharon Yvette Flewellen | Licensed Practical Nurse | 1876 Moore Street, Macon, GA 31204 | 2014-09-05 |
| 1336565647 | Accel Wellness Center, LLC | Specialist | 3083 Vineville Avenue, Macon, GA 31204 | 2014-03-11 |
| 1821439811 | Irene Gung Ho | Physician Assistant | 3203 Vineville Ave Ste A, Macon, GA 31204 | 2013-07-08 |
| 1518125657 | Jennifer Burns | Marriage & Family Therapist | 116 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| 1255599346 | Methodist Home of The South Georgia Conference, Inc. | Voluntary or Charitable | 304 Pierce Avenue, Macon, GA 31204 | 2008-05-27 |
| Find all providers in zip 31204 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861434 | Erika Jones Thomas | Home Health | 5120 Nisbet Dr, Macon, GA 31206-4724 | 2020-01-28 |
| 1528604857 | Southern Home Care Services, Inc. | Home Health | 105 Preston Ct Ste B, Macon, GA 31210-5769 | 2019-11-21 |
| 1366085466 | Abundant Care Services, LLC | Home Health | 125 Plantation Centre Dr S Ste 500b, Macon, GA 31210-2087 | 2019-10-21 |
| 1750946901 | Rebecca Bogle | Home Health | 311 Juniper Ln, Macon, GA 31220-7642 | 2019-05-03 |
| 1093291668 | Tyler Rashad Thomas | Home Health | 351 Amanda Dr, Macon, GA 31216-6387 | 2018-07-17 |
| 1003337718 | Shantha Tyhessia Jones | Home Health | 2453 Shea Drive, Macon, GA 31206 | 2017-07-03 |
| 1619497757 | First Choice Home Health & Behavioral Services LLC | Home Health | 4038 Suzanne Dr, Macon, GA 31204-3738 | 2017-06-20 |
| 1841664695 | 1st Source Healthcare | Home Health | 534 Ivy Brook Way, Macon, GA 31210-4049 | 2015-11-17 |
| 1780058537 | Abundant Health Care Agency | Home Health | 109 Madison North Dr, Macon, GA 31220-7627 | 2015-11-17 |
| 1639545098 | Tranquillity Home Care, LLC | Home Health | 154 Mcgee St, Macon, GA 31204-2308 | 2015-08-19 |
| Find all providers in MACON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.