AMAZING GRACE RESIDENCIAL SERVICES LLC
NPI 1104525393
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Cincinnati, OH

Active since February 27, 2023
522 SMILEY AVE, CINCINNATI, OH 45246(513) 807-7950 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amazing Grace Residencial Services Llc NPPES

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

AMAZING GRACE RESIDENCIAL SERVICES LLC (NPI 1104525393) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Cincinnati, Ohio and active in the NPI registry since February 2023. The organization lists Rolande Tiemeni, Owner, as its authorized official.

NPPES Registry Identity

NPI1104525393
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameAMAZING GRACE RESIDENCIAL SERVICES LLC
Location Address522 SMILEY AVECincinnati, OH 45246-2220
Mailing Address522 Smiley AveCincinnati, OH 45246-2220 · (513) 807-7950
Organization SubpartNo
Authorized OfficialRolande TiemeniOwner · (513) 807-7950
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
NPI 1104525393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
522 SMILEY AVE, Cincinnati, OH 45246

Other Names 1

Doing Business AsAmazing Grace Residencial Services Llc

Other Identifiers 2

Other00
Other0OH · N

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 Residencial Services LLC's NPI number?

The NPI number for Amazing Grace Residencial Services LLC is 1104525393. It was assigned to this organization in the NPPES registry on February 27, 2023.

Where is Amazing Grace Residencial Services LLC located?

Amazing Grace Residencial Services LLC is located at 522 Smiley Ave, Cincinnati, OH 45246. The listed phone number is (513) 807-7950.

What is Amazing Grace Residencial Services LLC's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Amazing Grace Residencial Services LLC was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.