Amazing Grace Treatment Center Therapeutic Care, LLC.
NPI 1124960653 · Case Management Agency · Dayton, OH
Amazing Grace Treatment Center Therapeutic Care, LLC. is a Case Management Agency organization in Dayton, OH (NPI 1124960653).
Provider details
- NPI number
- 1124960653
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tyes'A Nelloms, Program Manager(937) 231-8773
Specialties & taxonomies
Agencies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-03-31
Frequently asked questions
- What is Amazing Grace Treatment Center Therapeutic Care, LLC.'s NPI number?
- Amazing Grace Treatment Center Therapeutic Care, LLC.'s National Provider Identifier (NPI) is 1124960653, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Amazing Grace Treatment Center Therapeutic Care, LLC.?
- Amazing Grace Treatment Center Therapeutic Care, LLC. is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Amazing Grace Treatment Center Therapeutic Care, LLC. located?
- Amazing Grace Treatment Center Therapeutic Care, LLC.'s practice location on file with NPPES is 17 Indiana Ave, Dayton, OH 45410-2307.
- What is Amazing Grace Treatment Center Therapeutic Care, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Amazing Grace Treatment Center Therapeutic Care, LLC. is (937) 231-8773.
- Who is the authorized official for Amazing Grace Treatment Center Therapeutic Care, LLC.?
- The authorized official listed on Amazing Grace Treatment Center Therapeutic Care, LLC.'s NPPES record is Tyes'A Nelloms, Program Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Amazing Grace Treatment Center Therapeutic Care, LLC.'s NPI active?
- Yes — Amazing Grace Treatment Center Therapeutic Care, LLC.'s NPI (1124960653) is active in the NPPES registry as of the last update on 2026-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.