Amazing Grace Rest Home

LBN: Amazing Grace Rest Home
Amazing Grace Rest Home is an health care organization with primary practice located at 3633 Amazing Grace Rd , Lawndale NC 28090-8407. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Amazing Grace Rest Home can be contacted via phone (704) 435-2952, or through Wellmon, Earleen via phone (704) 435-2952.

Contact Information

Primary practice address
3633 Amazing Grace Rd Lawndale NC 28090-8407
Phone: (704) 435-2952
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wellmon, Earleen
Phone: (704) 435-2952

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1619012754
LBN Legal business name Amazing Grace Rest Home
DBA Doing business as
Authorized official Wellmon, Earleen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2007
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619012754 NPPES
North Carolina Other 7802290 PROVIDER NUMBER

Popular Providers