Provider Demographics
NPI:1720693500
Name:AMAYSING GRACE HOME CARE, LLC
Entity type:Organization
Organization Name:AMAYSING GRACE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUMORRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-776-8774
Mailing Address - Street 1:7250 W GREENS RD APT 1305
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1129
Mailing Address - Country:US
Mailing Address - Phone:833-776-8774
Mailing Address - Fax:
Practice Address - Street 1:7250 W GREENS RD APT 1305
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77064-1129
Practice Address - Country:US
Practice Address - Phone:833-776-8774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care