Grant Park Nursing Home Limited Partnership

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

HFD02-0017 Issued in DC

Legal business name

GRANT PARK NURSING HOME LIMITED PARTNERSHIP

Doing business as

Grant Park Care Center

Practice address

5000 Nannie Helen Burroughs Ave NE
Washington, DC 20019-5506

Phone

(202) 399-7504

Fax

(202) 396-7213

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Sandra E. Durham

Title

Manager

Phone

(202) 399-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grant Park Care Center Doing business as

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1033143235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195506",
            "telephone_number": "202-399-7504",
            "fax_number": "202-396-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 NANNIE HELEN BURROUGHS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200195506",
            "telephone_number": "202-399-7504",
            "fax_number": "202-396-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT PARK NURSING HOME LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-399-7504"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DC",
            "license": "HFD02-0017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032716100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant Park Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Marie Grande, MS, RD, LD
• Theresa Boykin Graneau
• Alexandra Granger
• Kevin C. Granger, D.D.S.
• Barbara Grant Boneta, MA
• Grant Park SNF, LLC
• Rashawn Grant-Adona
• Donna Belinda Grant-Mills, DDS
• Aubrey Grant
• Audrey Nadine Grant, PAC

• Skilled Nursing Facility in Washington, DC
• Providers in Washington, DC by specialty
• Skilled Nursing Facility in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.