OrganizationActive
Amazinggracehomehealth Services LLC
NPI 1104791821 · Home Health Aide · Glen Allen, VA
Provider details
- NPI number
- 1104791821
- Entity type
- Organization
- Primary specialty
- Home Health AideNursing Service Related Providers
- Organization subpart
- No
- Authorized official
- Justus Gichaba, Adminstrator(678) 371-2657
Specialties & taxonomies
Nursing Service Related Providers
- Home Health Agency251E00000X
Agencies
- Respite Care385H00000X
Respite Care Facility
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4870 Sadler Rd Ste 332
Glen Allen, VA 23060-6294
Phone: (205) 835-2415
Fax: (703) 763-1763
Street-level locationGet directions
Mailing address
15320 Wits End Dr
Woodbridge, VA 22193-5889
Registry dates
- Enumerated
- 2025-10-10
- Last updated
- 2025-10-10
- Certified
- 2025-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.