MEDICARE: AMAZING GRACE AT HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1801759683
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMAZING GRACE AT HOME

Provider Business Mailing Address
First Line	:	47 LOCUST AVE
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-1600
Country	:	US
Telephone Number	:	203-300-8827
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 LOCUST AVE
Second Line	:
City	:	DANBURY
State	:	CT
Zip	:	06810-1600
Country	:	US
Telephone Number	:	203-300-8827
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. FOLAYEMI ADEOLA YUSSUF
Credential	:
Telephone Number	:	203-300-8827

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “AMAZING GRACE AT HOME ” Practice Location

Language	Start Address	Practice Location

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