# AMAZING GRACE PCA, LLC

> 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 Personal Care Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962889147
- **Authorized official:** MRS. DELPHENIA MONTGOMERY LODIONG MBA (DIRECTOR)
- **Authorized official phone:** (504) 261-7602

## Contact information

- **Practice address:** 7240 CROWDER BLVD, SUITE 203, NEW ORLEANS, LA 70127-1922
- **Practice address phone:** (504) 309-8190
- **Practice address fax:** (504) 309-8196
- **Mailing address:** 413 QUEEN ANNE DR, SLIDELL, LA 70460-8439
- **Mailing address phone:** (504) 261-7602
- **Mailing address fax:** (504) 248-5302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251G00000X | Community Based Hospice Care Agency | 2203782320 | LA | — |
| 253Z00000X | In Home Supportive Care Agency | 2203782320 | LA | Yes |
| 253Z00000X | In Home Supportive Care Agency | HC0007481 | LA | — |

## Other

- **Enumeration date:** 04/27/2015
- **Last updated:** 04/27/2015