NPI 1023353588 · live from the CMS NPI Registry
Amazing Grace Home Care LLC
Home Health in Minneapolis, MN. National Provider Identifier 1023353588, active.
NPI record
| NPI | 1023353588 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 515 E Grant St, Apt. 311, Minneapolis, MN 55404 |
| Practice phone | 651-329-1853 |
| Enumerated | December 10, 2012 |
| Last updated | August 31, 2015 |
| Authorized official | Nneka Ogbu, Ceo/President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility, Nursing Care, Pediatric | 3140N1450X | 374448 (MN) |
| Home Health primary | 251E00000X | 374448 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.