Grace & Mercy Community Care Incorporated

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRACE & MERCY COMMUNITY CARE INCORPORATED

Practice address

1714 Boardman Poland Rd Ste 15a
Youngstown, OH 44514-3906

Phone

(412) 287-7654

NPI assigned

Oct 5, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Simone Green

Title

Ceo

Phone

(412) 287-7654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1013632611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD STE 15A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143906",
            "telephone_number": "412-287-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 BOARDMAN POLAND RD STE 15A",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143906",
            "telephone_number": "412-287-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & MERCY COMMUNITY CARE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SIMONE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-287-7654",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leann Goslak, OD
• Luz Danelly Gotham, CRNA
• Diane F Gould, CRNA
• Ross Adler Gould, BACHELOR OF SCIENCE
• Sally P. Grabovac
• Grace Services, Inc.
• Hycianna Ayana Grace
• Shalom Lee Grace
• Colton Ashton, Drake Graham
• Dale A Graham, RPH, DPM

• Developmentally Disabled Services Day Training Agency in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.