Provider Demographics
NPI:1780060418
Name:AMAZING GRACE HEALTHCARE SYSTEMS, INC
Entity type:Organization
Organization Name:AMAZING GRACE HEALTHCARE SYSTEMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-677-1442
Mailing Address - Street 1:6 BOSTON RD
Mailing Address - Street 2:SUITE 203 A
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-3073
Mailing Address - Country:US
Mailing Address - Phone:978-677-1442
Mailing Address - Fax:
Practice Address - Street 1:6 BOSTON RD
Practice Address - Street 2:SUITE 203 A
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-3073
Practice Address - Country:US
Practice Address - Phone:978-677-1442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health