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Contact Information

AMAZING GRACE HEALTHCARE SERVICES
15475 S PARK AVE STE 109
SOUTH HOLLAND, IL60473-1377
 Phone: 312-550-6957
 Fax: 708-596-5687
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for AMAZING GRACE HEALTHCARE SERVICES

NPI Number 1861063091
LBN Legal business name AMAZING GRACE HEALTHCARE SERVICES
Authorized official ALICE OLUJIMI - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2021
Last updated 09/10/2022 - About 4 years ago
Identifiers
IL Other 4000698 HOME NURSING AGENCY
IL Other 3002026 HOME SERVICES AGENCY
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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