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AMAZING GRACE HEALTHCARE,LLC
NPI 1073173522
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Landover, MD

Active since June 17, 2019
2306 BRIGHTSEAT RD APT 5, LANDOVER, MD 20785(202) 390-7313 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2020, May 20, 2020, Jun 17, 2019 (3 updates tracked since 2019).

About Amazing Grace Healthcare,llc NPPES

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

AMAZING GRACE HEALTHCARE,LLC (NPI 1073173522) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Landover, Maryland and active in the NPI registry since June 2019. The organization lists Binette Forzong Fonge, Director, as its authorized official.

NPPES Registry Identity

NPI1073173522
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameAMAZING GRACE HEALTHCARE,LLC
Location Address2306 BRIGHTSEAT RD APT 5Landover, MD 20785-3550
Mailing Address2306 Brightseat Rd Apt 5Landover, MD 20785-3550
Phone(202) 390-7313
Organization SubpartNo
Authorized OfficialBinette Forzong FongeDirector · (202) 390-7313
Enumeration DateJune 17, 2019
Last NPPES UpdateNovember 24, 20203 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1073173522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
2306 BRIGHTSEAT RD APT 5, Landover, MD 20785
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Other Providers at the Same Location NPPES 2

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

LISSETTE MUKE FONGE
Home Health Aide
2306 BRIGHTSEAT RD APT 5
HYATTSVILLE, MD 20785
Prince George's County (202) 758-4209
HELEN TONJOCK FONGE HHA
Home Health Aide
2306 BRIGHTSEAT RD APT 5
HYATTSVILLE, MD 20785
Prince George's County (323) 679-7544

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 Healthcare,llc's NPI number?

The NPI number for Amazing Grace Healthcare,llc is 1073173522. It was assigned to this organization in the NPPES registry on June 17, 2019.

Where is Amazing Grace Healthcare,llc located?

Amazing Grace Healthcare,llc is located at 2306 Brightseat Rd Apt 5, Landover, MD 20785. The listed phone number is (202) 390-7313.

What is Amazing Grace Healthcare,llc's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Amazing Grace Healthcare,llc was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.