Provider Demographics
NPI:1568129161
Name:AMAZINGLY GRACE HOSPICE INC
Entity Type:Organization
Organization Name:AMAZINGLY GRACE HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADEBAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHINUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-672-1588
Mailing Address - Street 1:7322 SOUTHWEST FWY SUITE 645 ROOM F
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2065
Mailing Address - Country:US
Mailing Address - Phone:832-672-1588
Mailing Address - Fax:713-588-8863
Practice Address - Street 1:7322 SOUTHWEST FWY STE 645
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2065
Practice Address - Country:US
Practice Address - Phone:832-672-1588
Practice Address - Fax:713-588-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-18
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty