Healthcare Provider Details

I. General information

NPI: 1649819236
Provider Name (Legal Business Name): AMAZING GRACE STAFFING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 08/08/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 E 19TH ST
HAYS KS
67601-3218
US

IV. Provider business mailing address

PO BOX 272
HAYS KS
67601-0272
US

V. Phone/Fax

Practice location:
  • Phone: 785-432-2920
  • Fax: 888-298-5222
Mailing address:
  • Phone: 785-432-2920
  • Fax: 888-298-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ISAAC DAVID NORTH
Title or Position: OWNER AND CFO
Credential:
Phone: 785-621-4225