Immanuels Grace Homecare Inc

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

IMMANUELS GRACE HOMECARE INC

Practice address

321 Highland Ave
Syracuse, NY 13203-1607

Phone

(315) 883-0499

Fax

(315) 883-0594

NPI assigned

Dec 24, 2018

Organization subpart

No

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

Authorized official

Name

Ravi Gurung

Title

Secretary/Owner

Phone

(718) 808-2714

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1053883488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 HIGHLAND AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031607",
            "telephone_number": "315-883-0499",
            "fax_number": "315-883-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 HIGHLAND AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132031607",
            "telephone_number": "315-883-0499",
            "fax_number": "315-883-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUELS GRACE HOMECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "GURUNG",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "SECRETARY/OWNER",
        "authorized_official_telephone_number": "718-808-2714"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Thomas Ike, RPH
• Dawn-Noella Ikechi-Konkwo, MD
• Emily Ann Iles, PT, DPT
• Juliet Ilunga
• Linda L Imboden, M.D.
• David Impellizzeri
• Inclusive Alliance Ipa, Inc.
• Samantha Indelicato
• Independent Health Care Services,Inc.
• Yoseni Leandra Infante

• Home Health Aide in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.