GRACE HOSPICE OF INDIANA, LLC (NPI# 1629367800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629367800 |
| Entity Type | Organization |
| Organization Name | GRACE HOSPICE OF INDIANA, LLC |
| Other Organization Name | GRACE HOSPICE |
| Practice Address |
5838 West Brick Rd Ste 101 South Bend IN 46628-8420 |
| Mailing Address |
P.o. Box 99278 Troy MI 48099-9278 |
| Practice Telephone | 5742089270 |
| Practice Fax Number | 8556180518 |
| Mailing Telephone | 2488246000 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | RAJIV N PATEL (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488246609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 11-012733-1 | IN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | STATE OF INDIANA HOSPICE LICENSE | 18-012733-1 | 01 |
| IN | 201123200A | 05 |
| Other Name | Type Code |
|---|---|
| Grace Hospice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9100 Purdue Rd Ste 102, Indianapolis, IN 462681190 | 3174895287 | 8556182627 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | GRACE HOSPICE OF INDIANA, LLC | 7700 Forsyth Blvd., St. Louis, MO 63105 |
| Street Address |
5838 WEST BRICK RD STE 101 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-8420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720131543 | The Center for Hospice and Palliative Care, Inc | Hospice Care, Community Based | 111 Sunnybrook Ct, South Bend, IN 46637-3437 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770180168 | Adaptive Hospice, Inc. | Hospice Care, Community Based | 777 Beachway Dr Ste 302, Indianapolis, IN 46224-7876 | 2020-10-08 |
| 1457969081 | Intrepid of The Crescent Valley, Inc. | Hospice Care, Community Based | 4600 Vogel Rd Ste 1318, Evansville, IN 47715-2226 | 2020-07-20 |
| 1275150062 | Heartland Hospice Services LLC | Hospice Care, Community Based | 5265 Commerce Blvd Ste A, Crown Point, IN 46307-5327 | 2020-06-29 |
| 1790306710 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 9515 Indianapolis Blvd Ste 4, Highland, IN 46322-2644 | 2020-04-30 |
| 1841821741 | Heart To Heart Hospice of Eastern Indiana, LLC | Hospice Care, Community Based | 1 Cass City Ctr Ste 214-217, Logansport, IN 46947-3172 | 2020-01-29 |
| 1376183673 | Preferred Hospice Care, LLC | Hospice Care, Community Based | 224 S Mill St, Fairmount, IN 46928-1940 | 2020-01-14 |
| 1336782119 | Guardian Angels Hospice and Palliative Care of Fort Wayne | Hospice Care, Community Based | 11621 Stellhorn Rd, New Haven, IN 46774-9775 | 2019-10-23 |
| 1205479383 | Eleos,llc | Hospice Care, Community Based | 4601 Maplecrest Rd, Fort Wayne, IN 46835-3980 | 2019-10-22 |
| 1023667755 | Heart To Heart Hospice of Northwest Indiana LLC | Hospice Care, Community Based | 402 Wall St Ste 51, Valparaiso, IN 46383-2567 | 2019-09-05 |
| 1881243509 | Heart To Heart Hospice of Northeast Indiana, LLC | Hospice Care, Community Based | 7223 Engle Rd Ste 210, Fort Wayne, IN 46804-2239 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on GRACE HOSPICE OF INDIANA, LLC.
| 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.