AMAZINGGRACEHOMEHEALTH SERVICES LLC
NPI 1104791821
Home Health Aide in Glen Allen, VA

NPI Status: Active since October 10, 2025

Contact Information

4870 SADLER RD STE 332
GLEN ALLEN, VA
ZIP 23060
Phone: (205) 835-2415
Fax: (703) 763-1763

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  • Organization
  • Home Health Aide

About AMAZINGGRACEHOMEHEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Amazinggracehomehealth Services Llc, a provider established in Glen Allen, Virginia operating as a Home Health Aide. The healthcare provider is registered in the NPI registry with number 1104791821 assigned on October 2025. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Justus Ogwoka Gichaba (Adminstrator)

NPI
1104791821
Provider Name
AMAZINGGRACEHOMEHEALTH SERVICES LLC
Entity Type
Organization
Location Address
4870 SADLER RD STE 332 GLEN ALLEN, VA 23060
Location Phone
(205) 835-2415
Location Fax
(703) 763-1763
Mailing Address
15320 WITS END DR WOODBRIDGE, VA 22193
Mailing Phone
(205) 835-2415
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2025
Last Update Date
10-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

 
2385H00000XRespite Care Facility

Respite Care

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUSTUS OGWOKA GICHABA

Authorized Official Title
ADMINSTRATOR
Authorized Official Phone
(678) 371-2657

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104791821, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 7 → 14 → 5 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 4 + 9 + 2 + 8 + 4 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1104791821.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104791821, enumerated as an "organization" on October 10, 2025.

The provider is located at 4870 SADLER RD STE 332 GLEN ALLEN, VA 23060 and the phone number is (205) 835-2415.

Home Health Aide with taxonomy code 374U00000X.