Organization Active NPI

Grace and Integrity Community Services LLC

  • Home Health Agency
  • Raleigh, NC
National Provider Identifier
1023832516
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE AND INTEGRITY COMMUNITY SERVICES LLC
Practice address
4010 Barrett Dr Ste G2
Raleigh, NC 27609-6622
Phone
(919) 609-9493
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Pandora Gavin
Title
Owner
Phone
(443) 953-8907

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

4010 Barrett Dr Ste G2
Raleigh, NC 27609-6622

Mailing address

4010 Barrett Dr Ste G2
Raleigh, NC 27609-6622
Phone (919) 609-9493

National Provider Directory

National Provider Directory

Locations

4010 Barrett Dr
Ste G2
Raleigh, NC 27609
Phone (919) 609-9493

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1023832516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 BARRETT DR STE G2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096622",
            "telephone_number": "919-609-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 BARRETT DR STE G2",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096622",
            "telephone_number": "919-609-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND INTEGRITY COMMUNITY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "GAVIN",
        "authorized_official_first_name": "PANDORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-953-8907"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.