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Contact Information

AMAZING GRACE PERSONAL CARE SERVICE, INC
4131 BARBARA LOOP SE # 2D
RIO RANCHO, NM87124-1362
 Phone: 505-796-4900
 Fax: 505-896-4513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

In Home Supportive Care

253Z00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for AMAZING GRACE PERSONAL CARE SERVICE, INC

NPI # 1164638565
LBN Legal business name AMAZING GRACE PERSONAL CARE SERVICE, INC
Authorized official TOM CRIDER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 09/27/2024 - More than a year ago
Identifiers
NM Medicaid 62985736
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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