Grace Healthcare Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1406110221 Issued in SC

Legal business name

GRACE HEALTHCARE SERVICES LLC

Practice address

3519 Pelham Rd
Suite 104
Greenville, SC 29615-4181

Phone

(864) 438-2635

NPI assigned

Dec 10, 2014

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

GRACE HEALTHCARE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Bassey Ekanem

Title

Managing Partner

Phone

(703) 447-7584

Specialties & licenses 1

Addresses

Part of

Grace Healthcare Services LLC

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1093113805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 PELHAM RD",
            "address_2": "SUITE 104",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154181",
            "telephone_number": "864-438-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 PELHAM RD",
            "address_2": "SUITE 104",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154181",
            "telephone_number": "864-438-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE HEALTHCARE SERVICES LLC",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "EKANEM",
        "authorized_official_first_name": "BASSEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "703-447-7584"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "SC",
            "license": "1406110221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zain Sherali Gowani
• Samantha Gowen
• Roger Huntington Gower, M.D.
• Mark Allen Grabarczyk, M.D.
• Joanna Grabska, MD
• Edward Edmond Grace, PHARM.D.
• Graced by Grace
• Graceful Blessings, LLC
• Steven Lee Graddick, MD
• Linda Lee Graddy, NCC LPCI

• Home Health Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.