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AMAZING GRACE PCA LLC NPI 1962889147


NPI Information

NPI: 1962889147
Provider Name: AMAZING GRACE PCA, LLC

Doing Business As: AMAZING GRACE PERSONAL CARE SERVICE

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
7240 CROWDER BLVD
SUITE 203
NEW ORLEANS, LA
ZIP 70127
Phone: (504) 309-8190
Get Directions

AMAZING GRACE PCA, LLC is an in home supportive care in New Orleans, LA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. AMAZING GRACE PCA, LLC NPI is 1962889147. The provider is registered as an organization entity type.
The provider Is Doing Business As Amazing Grace Personal Care Service.

The provider's business location address is:

7240 CROWDER BLVD
SUITE 203
NEW ORLEANS, LA
ZIP 70127-922
Phone: (504) 309-8190
Fax: (504) 309-8196

The provider's authorized official is Delphenia Montgomery Lodiong .
The authorized official title is Director and has the following contact phone number (504) 261-7602.

The enumeration date for this NPI number is 4/27/2015 and was last updated on 4/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based2203782320LOUISIANANo
2253Z00000XIn Home Supportive CareHC0007481LOUISIANANo
3253Z00000XIn Home Supportive Care2203782320LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11031305MEDICAIDLOUISIANA
21026042MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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