Provider Demographics
NPI:1275296923
Name:AMAZING GRACE CARE INC
Entity Type:Organization
Organization Name:AMAZING GRACE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OLUWATOSIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-239-4734
Mailing Address - Street 1:3221 NOLENSVILLE PIKE STE 103
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-2953
Mailing Address - Country:US
Mailing Address - Phone:615-668-5801
Mailing Address - Fax:
Practice Address - Street 1:3221 NOLENSVILLE PIKE STE 103
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-2953
Practice Address - Country:US
Practice Address - Phone:615-668-5801
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health