AMAZING GRACE HEALTHCARE,LLC – NPI #1073173522
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

AMAZING GRACE HEALTHCARE,LLC is a residential treatment facility located in LANDOVER, MD. NPPES has assigned the NPI number 1073173522 to AMAZING GRACE HEALTHCARE,LLC on June 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 6 years ago on Nov 24, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMAZING GRACE HEALTHCARE,LLC below.

NPI Profile for
AMAZING GRACE HEALTHCARE,LLC

NPI Number
1073173522
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AMAZING GRACE HEALTHCARE,LLC
Primary location
2306 BRIGHTSEAT RD APT 5
LANDOVER, MD 20785-3550
Phone: (202) 390-7313 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BINETTE FONGE
DIRECTOR
Phone: (202) 390-7313
Updated
Certification Date
Nov 24, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.