Organization
AMAZINGGRACEHOMEHEALTH SERVICES LLC
Active
Organization
AMAZINGGRACEHOMEHEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTUS OGWOKA GICHABA (ADMINSTRATOR)
(678) 371-2657
Entity
Organization
Contact information
Practice address
4870 SADLER RD STE 332, GLEN ALLEN, VA 23060-6294
(205) 835-2415
(703) 763-1763
Mailing address
15320 WITS END DR, WOODBRIDGE, VA 22193-5889
(205) 835-2415
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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