AMAZING GRACE TREATMENT CENTER, INC.
NPI 1043057482
Community Based Residential Treatment Facility, Mental Illness in Dayton, OH

Q: What is Amazing Grace Treatment Center, Inc.'s NPI number?

The NPI number for Amazing Grace Treatment Center, Inc. is 1043057482. It was assigned to this organization in the NPPES registry on July 12, 2024.

Q: What is Amazing Grace Treatment Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since July 12, 2024

17 INDIANA AVE, DAYTON, OH 45410(937) 640-3400 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jul 12, 2024 (2 updates tracked since 2024).

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About Amazing Grace Treatment Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMAZING GRACE TREATMENT CENTER, INC. (NPI 1043057482) is a healthcare organization registered as a community based residential treatment facility, mental illness in Dayton, Ohio and active in the NPI registry since July 2024. The organization lists Tyes'a Nelloms, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1043057482

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameAMAZING GRACE TREATMENT CENTER, INC.

Location Address17 INDIANA AVEDayton, OH 45410-2307

Mailing Address17 Indiana AveDayton, OH 45410-2307 · (937) 640-3400

Phone(937) 640-3400

Organization SubpartNo

Authorized OfficialTyes'a NellomsProgram Manager · (937) 231-8773

Enumeration DateJuly 12, 2024

Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration

NPPES CertifiedMarch 23, 2026

✔ NPI 1043057482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

17 INDIANA AVE, Dayton, OH 45410

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.

Case Management

17 INDIANA AVE
DAYTON, OH 45410

Montgomery County (937) 231-8773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amazing Grace Treatment Center, Inc.'s NPI number?

The NPI number for Amazing Grace Treatment Center, Inc. is 1043057482. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Amazing Grace Treatment Center, Inc. located?

Amazing Grace Treatment Center, Inc. is located at 17 Indiana Ave, Dayton, OH 45410. The listed phone number is (937) 640-3400.

What is Amazing Grace Treatment Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Amazing Grace Treatment Center, Inc. was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.