Provider Demographics
NPI:1164183190
Name:AMAYSING GRACE HOME CARE, LLC
Entity Type:Organization
Organization Name:AMAYSING GRACE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMORRIA
Authorized Official - Middle Name:XZAVIA
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-444-8659
Mailing Address - Street 1:12436 FM 1960 RD W # 137
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-4809
Mailing Address - Country:US
Mailing Address - Phone:833-776-8774
Mailing Address - Fax:833-244-7224
Practice Address - Street 1:7250 W GREENS RD APT 1305
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1129
Practice Address - Country:US
Practice Address - Phone:833-776-8774
Practice Address - Fax:833-244-7224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-03
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory