AMAZING GRACE HOME CARE SERVICES NPI 1114814449

NPI Information

  • NPI: 1114814449
  • Provider Name: AMAZING GRACE HOME CARE SERVICES
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 108A E MAIN ST
    LATTA, SC
    ZIP 29565
  • Phone: (843) 616-8770

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NPI Details

AMAZING GRACE HOME CARE SERVICES is a durable medical equipment medical supplies in Latta, SC. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. AMAZING GRACE HOME CARE SERVICES NPI is 1114814449. The provider is registered as an organization entity type.

The provider's business location address is:

108A E MAIN ST
LATTA, SC
ZIP 29565-617
Phone: (843) 616-8770

The provider's authorized official is Lometria Wilson .
The authorized official title is Owner and has the following contact phone number (843) 616-8770.

The enumeration date for this NPI number is 6/19/2025 and was last updated on 6/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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