Provider Demographics
NPI:1346972130
Name:AMAZING GRACE HOME CARE
Entity Type:Organization
Organization Name:AMAZING GRACE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-405-4493
Mailing Address - Street 1:1130 TIENKEN CT STE 217
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48306-4370
Mailing Address - Country:US
Mailing Address - Phone:248-266-6777
Mailing Address - Fax:
Practice Address - Street 1:1130 TIENKEN CT STE 217
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48306-4370
Practice Address - Country:US
Practice Address - Phone:248-266-6777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health