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AMAZING GRACE HEALTH LLC NPI 1457023723


NPI Information

NPI: 1457023723
Provider Name: AMAZING GRACE HEALTH LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
17156 W TONTO ST
GOODYEAR, AZ
ZIP 85338
Phone: (623) 206-2311
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AMAZING GRACE HEALTH LLC is a substance abuse rehabilitation facility in Goodyear, AZ. The provider is 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. AMAZING GRACE HEALTH LLC NPI is 1457023723. The provider is registered as an organization entity type.

The provider's business location address is:

17156 W TONTO ST
GOODYEAR, AZ
ZIP 85338-295
Phone: (623) 206-2311

The provider's authorized official is Leonard Iwuala .
The authorized official title is Ceo and has the following contact phone number (623) 206-2311.

The enumeration date for this NPI number is 10/4/2021 and was last updated on 10/4/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.