GRACE ADULT FAMILY CARE LLC (NPI# 1477931764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477931764 |
| Entity Type | Organization |
| Organization Name | GRACE ADULT FAMILY CARE LLC |
| Practice Address |
2947 N Colorado Ave Indianapolis IN 46218-3116 |
| Mailing Address |
2825 E 96th St Indianapolis IN 46240-1310 |
| Practice Telephone | 3174273755 |
| Practice Fax Number | 3178167304 |
| Mailing Telephone | 3174273755 |
| Mailing Fax Number | 3178167304 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | MS. JOY ADEWOPO (OWNER) |
| Authorized Official Telephone | 3174273755 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
201279870 | IN | Nursing & Custodial Care Facilities |
| Street Address |
2947 N COLORADO AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46218-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487208930 | Darryl K Webster | Counselor | 4901 E. 31st Street, Indianapolis, IN 46218 | 2019-08-01 |
| 1780238238 | Rhonda Y. Battles | Counselor | 1775 N Sherman Dr Suite A, Indianapolis, IN 46218 | 2019-08-01 |
| 1861918849 | Corey Simmons | Ambulance | 3659 N Temple Ave, Indianapolis, IN 46218 | 2017-08-21 |
| 1245769645 | Community Health Network, Inc | Clinic/Center | 1640 N. Ritter Avenue, Indianapolis, IN 46218 | 2017-06-08 |
| 1912221615 | Melvin Lowell Stringer Jr. | Driver | 3266 N. Arsenal Ave, Indianapolis, IN 46218 | 2010-03-24 |
| 1952523854 | Allyson Leigh Mcintire | Counselor | 5502 E 16 Th Street, Indpls, IN 46218 | 2007-05-02 |
| 1104912963 | Andrea Sue Campbell | Social Worker | 5502 E 16th Street, Indpls, IN 46218 | 2006-10-05 |
| 1720186356 | Abbie Ann Grudzien | Counselor | 4701 N Keystone, Ste 150, Indpls, IN 46218 | 2006-09-20 |
| 1508978784 | Linda A Fundenberger | Ophthalmology | 2815 E 38th Street, Indianapolis, IN 46218 | 2006-08-31 |
| 1063467850 | Aaron P Kalinowski | Emergency Medicine | 2920 N Arlington Ave Ste B, Indianapolis, IN 46218 | 2006-05-23 |
| Find all providers in zip 46218 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315095 | Shana P Graham | Custodial Care Facility | 8308 E 11th St, Indianapolis, IN 46219-4003 | 2020-10-28 |
| 1629513700 | Violet Johnson | Custodial Care Facility | 3213 N Riley Ave, Indianapolis, IN 46218-2350 | 2016-12-28 |
| 1730456575 | Amazing Grace Home Care LLC | Custodial Care Facility | 4825 W Beecher St, Indianapolis, IN 46241-4603 | 2011-11-22 |
| 1609162262 | National Mentor Healthcare, LLC | Custodial Care Facility | 8061 Folkstone Rd, Indianapolis, IN 46268-2029 | 2011-06-22 |
| 1255621561 | National Mentor Healthcare, LLC | Custodial Care Facility | 2815 Spring Meadow Ct, Indianapolis, IN 46268 | 2011-04-08 |
| 1184922882 | National Mentor Healthcare, LLC | Custodial Care Facility | 3324 Cherry Lake Rd, Indianapolis, IN 46235-8909 | 2011-03-03 |
| 1124325790 | National Mentor Healthcare, LLC | Custodial Care Facility | 9901 Pendleton Pike, Lot 32, Indianapolis, IN 46236-2886 | 2011-02-17 |
| 1255635066 | Grimes Management Services, Inc. | Custodial Care Facility | 101 W Troy Ave, Indianapolis, IN 46225-2343 | 2011-01-07 |
| 1669781399 | National Mentor Healthcare, LLC | Custodial Care Facility | 602 Parkway Ave, Indianapolis, IN 46203-1840 | 2010-09-29 |
| 1023157559 | Eric Lamont Sanders | Custodial Care Facility | 4904 Hillside Ave, Indianapolis, IN 46205-1442 | 2007-02-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46218 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.