Healthcare Provider Details

I. General information

NPI: 1669519773
Provider Name (Legal Business Name): AMAZING GRACE NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 CARTWRIGHT RD STE 1005
MISSOURI CITY TX
77459-5315
US

IV. Provider business mailing address

8200 WEDNESBURY LN 265
HOUSTON TX
77074-2925
US

V. Phone/Fax

Practice location:
  • Phone: 713-484-7555
  • Fax: 713-484-6318
Mailing address:
  • Phone: 713-484-7555
  • Fax: 713-484-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1815300
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number001014681
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number673136
License Number StateTX

VIII. Authorized Official

Name: TIAMIYU TAJUDEEN
Title or Position: ALT ADMINISTRATOR
Credential:
Phone: 713-484-7555