Amazing Grace Treatment Center Therapeutic Care, LLC.
NPI 1124960653ActiveOrganization· Case Management· Dayton, OH
Case Management in Dayton, Ohio, registered in NPPES in April 2026. The authorized official on file is Tyes'A Nelloms, QMHS, ADN, Program Manager.
Overview
| NPI | 1124960653 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 6, 2026 |
| Last updated in NPPES | Apr 6, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
| Community/Behavioral Health | 251S00000X | — | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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