AMAZING GRACE TREATMENT CENTER, INC. – NPI #1043057482
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

AMAZING GRACE TREATMENT CENTER, INC. is a community based residential treatment facility located in DAYTON, OH. NPPES has assigned the NPI number 1043057482 to AMAZING GRACE TREATMENT CENTER, INC. on July 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was last updated on Mar 23, 2026. 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 TREATMENT CENTER, INC. below.

NPI Profile for
AMAZING GRACE TREATMENT CENTER, INC.

NPI Number
1043057482
Enumeration Date

(about 2 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 TREATMENT CENTER, INC.
Primary location
17 INDIANA AVE
DAYTON, OH 45410-2307
Phone: (937) 640-3400 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TYES'A NELLOMS
PROGRAM MANAGER
Phone: (937) 231-8773
Updated
Certification Date
Mar 23, 2026

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
101YM0800X
- Counselor / Mental Health

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
TherapyNotes
Endpoint type
Other URL
Endpoint Description
ELECTRONIC HEALTH RECORDS
Content Type
Affiliation
N
Endpoint Location
17 INDIANA AVE,
DAYTON, OH 77025-1669