AMAZING GRACE HEALTH LLC – NPI #1457023723
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

AMAZING GRACE HEALTH LLC is a substance abuse rehabilitation facility located in GOODYEAR, AZ. NPPES has assigned the NPI number 1457023723 to AMAZING GRACE HEALTH LLC on October 04, 2021. 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 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

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 HEALTH LLC below.

NPI Profile for
AMAZING GRACE HEALTH LLC

NPI Number
1457023723
Enumeration Date

(more than 4 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 HEALTH LLC
Primary location
17156 W TONTO ST
GOODYEAR, AZ 85338-1295
Phone: (623) 206-2311 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEONARD IWUALA
CEO
Phone: (623) 206-2311
Updated
Certification Date
Oct 02, 2021

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
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)
251S00000X
- Community/Behavioral 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.