Grace Center for Adult Day Services

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACE CENTER FOR ADULT DAY SERVICES

Practice address

980 NW Spruce Ave
Corvallis, OR 97330-2112

Phone

(541) 754-8417

NPI assigned

Feb 7, 2019

Organization subpart

No

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

Authorized official

Name

Rene Knight

Title

Director of Operations

Phone

(541) 754-8417

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1073078671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302112",
            "telephone_number": "541-754-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 NW SPRUCE AVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973302112",
            "telephone_number": "541-754-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CENTER FOR ADULT DAY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "541-754-8417"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen T Gormley, QMHA, CNA, MHT
• Lilly Lorine Goss
• John Ivan Gotchall, MD
• Tessa Gourley
• Marisabel Gouverneur, RN
• Grace Good Health, PC
• Twyla Birdie Grace-Sonnenfelt
• Dawn Grace, RN
• Connie B. Graham, M.D.
• Craig D. Graham, M.D.

• Adult Day Care Clinic/Center in Corvallis, OR
• Providers in Corvallis, OR by specialty
• Adult Day Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.