# ADDOM, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Amazing Grace Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629474218
- **Authorized official:** MR. DOMIQUE PACLIBAR RN (VICE-PRESIDENT)
- **Authorized official phone:** (510) 243-9987

## Contact information

- **Practice address:** 3260 BLUME DR, SUITE 425, RICHMOND, CA 94806-5203
- **Practice address phone:** (510) 243-9987
- **Practice address fax:** (510) 243-9991
- **Mailing address:** 3260 BLUME DR, SUITE 425, RICHMOND, CA 94806-5203
- **Mailing address phone:** (510) 243-9987
- **Mailing address fax:** (510) 243-9991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2014
- **Last updated:** 11/10/2014