Active NPI
Grace Care Corporation
- Community/Behavioral Health Agency
- Carson, CA
National Provider Identifier
1023290640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GRACE CARE CORPORATION
- Practice address
- 500 E Carson Plaza Dr Ste 101-109
Carson, CA 90746-3225 - Phone
- (310) 324-6704
- Fax
- (310) 324-6767
- NPI assigned
- Dec 5, 2007
- Last updated
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth A. Aaron
- Title
- President/Administrator
- Phone
- (310) 324-6704
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | CA | Primary |
Addresses
Primary practice location
500 E Carson Plaza Dr Ste 101-109
Carson, CA 90746-3225
Mailing address
500 E Carson Plaza Dr Ste 101-109
Carson, CA 90746-3225
Phone (310) 324-6704
Other names 1
- Elim Adult Day Health Care Center
National Provider Directory
National Provider DirectoryLocations
500 E Carson Plaza Dr
Ste 101109
Carson, CA 90746
Phone (310) 324-6704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196812800000",
"number": "1023290640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E CARSON PLAZA DR STE 101-109",
"city": "CARSON",
"state": "CA",
"postal_code": "907463225",
"telephone_number": "310-324-6704",
"fax_number": "310-324-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E CARSON PLAZA DR STE 101-109",
"city": "CARSON",
"state": "CA",
"postal_code": "907463225",
"telephone_number": "310-324-6704",
"fax_number": "310-324-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE CARE CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2007-12-05",
"status": "A",
"authorized_official_last_name": "AARON",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
"authorized_official_telephone_number": "310-324-6704"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elim Adult Day Health Care Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.