Grace Meadows Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9915H Issued in AZ

Legal business name

GRACE MEADOWS ASSISTED LIVING LLC

Practice address

4902 W Beverly LN
Glendale, AZ 85306-2028

Phone

(602) 978-1568

NPI assigned

Feb 25, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Mike J Oleary

Title

Owner/ Manager

Phone

(602) 978-1563

Specialties & licenses 1

Addresses

Other names 1

• Ashlee Care Doing business as

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1073973673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 W BEVERLY LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062028",
            "telephone_number": "602-978-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 W BEVERLY LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853062028",
            "telephone_number": "602-978-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEADOWS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "602-978-1563",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9915H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashlee Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonya Govan
• Shreena Govani, PHARM D
• Bryan Gower, MC, LPC
• Sarah Goy
• Pankaj Rai Goyal, D.D.S.
• Ruben Francisco Grace III, LMSW
• Elizabeth Grady, LPC
• Larquietta Grady
• Kendra Graham
• Robert W Graham, D.C.

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.