AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.
NPI 1124960653
Case Management in Dayton, OH

Active since April 06, 2026
17 INDIANA AVE, DAYTON, OH 45410(937) 231-8773 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amazing Grace Treatment Center Therapeutic Care, Llc. NPPES

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

AMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC. (NPI 1124960653) is a healthcare organization registered as a case management in Dayton, Ohio and active in the NPI registry since April 2026. The organization lists Tyes'a Nelloms, Program Manager, as its authorized official.

NPPES Registry Identity

NPI1124960653
Entity TypeOrganization
Primary Taxonomy251B00000X
Legal Business NameAMAZING GRACE TREATMENT CENTER THERAPEUTIC CARE, LLC.
Location Address17 INDIANA AVEDayton, OH 45410-2307
Mailing Address330 W 1st St Apt 905Dayton, OH 45402-3055 · (937) 231-8773
Organization SubpartNo
Authorized OfficialTyes'a NellomsProgram Manager · (937) 231-8773
Enumeration DateApril 6, 2026
NPPES CertifiedMarch 31, 2026
NPI 1124960653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCase ManagementAgencies
Taxonomy Code251B00000X
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
17 INDIANA AVE, Dayton, OH 45410

Other Providers at the Same Location NPPES

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

Community Based Residential Treatment Facility, Mental Illness
17 INDIANA AVE
DAYTON, OH 45410

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 Therapeutic Care, LLC.'s NPI number?

The NPI number for Amazing Grace Treatment Center Therapeutic Care, LLC. is 1124960653. It was assigned to this organization in the NPPES registry on April 6, 2026.

Where is Amazing Grace Treatment Center Therapeutic Care, LLC. located?

Amazing Grace Treatment Center Therapeutic Care, LLC. is located at 17 Indiana Ave, Dayton, OH 45410. The listed phone number is (937) 231-8773.

What is Amazing Grace Treatment Center Therapeutic Care, LLC.'s specialty?

The primary specialty registered for this NPI is Case Management with taxonomy code 251B00000X.

When was this NPI record last updated?

The NPPES record for Amazing Grace Treatment Center Therapeutic Care, LLC. was last updated on April 6, 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.