Grace Lantam

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

12241 Crystal Downs Rd
Peyton, CO 80831-4042

Phone

(720) 329-6429

Fax

(720) 329-6429

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Hope Services

  • Homemaker
  • Aurora, CO
  • NPI 1336693118
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013369859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 CRYSTAL DOWNS RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "80831",
            "telephone_number": "720-329-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 CRYSTAL DOWNS RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314042",
            "telephone_number": "720-329-6429",
            "fax_number": "720-329-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2594 S Rifle St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800131570",
            "country_code": "US",
            "telephone_number": "720-329-6429 x96429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2594 S Rifle St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800131570",
            "country_code": "US",
            "telephone_number": "720-329-6429 x96429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANTAM",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812697217",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "812697217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christin Knapek
• Brandi Knaus, LCSW
• Krzyinc
• Sandra Lair
• Kyle Land
• Tricia Leblanc, LPN
• Kassandra A Ledford
• Dennis Leigh, COTA
• Rebecca Leitner, D.P.T.
• Angela M Liddle, PHYSICAL THERAPIST

• All providers in Peyton, CO
• Homemaker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.