Active NPI
Grace and Integrity Community Services LLC
- Home Health Agency
- Raleigh, NC
National Provider Identifier
1023832516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Home Health Aide | 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 DirectoryLocations
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.