NPIMap

Organization Active NPI

Grace Excellency Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Maplewood, NJ
National Provider Identifier
1104327626
Registry record updated Feb 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
HP0200100 Issued in NJ
Legal business name
GRACE EXCELLENCY CARE, LLC
Practice address
2066 Millburn Ave Ste 102
Maplewood, NJ 07040-3722
Phone
(973) 313-1700
Fax
(973) 313-2300
NPI assigned
Feb 21, 2018
Last updated
Feb 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2018

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

Authorized official

Name
Grace Modupe Olagbegi
Title
Executive Director
Phone
(973) 313-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X HP0200100 NJ Primary

Addresses

Primary practice location

2066 Millburn Ave Ste 102
Maplewood, NJ 07040-3722

Mailing address

2066 Millburn Ave Ste 102
Maplewood, NJ 07040-3722
Phone (973) 313-1700

National Provider Directory

National Provider Directory
Tax ID family
Grace Excellency Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2066 Millburn Ave
Ste 102
Maplewood, NJ 07040
Phone (973) 313-1700

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519171200000",
    "number": "1104327626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2066 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403722",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2066 MILLBURN AVE STE 102",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403722",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE EXCELLENCY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2018-02-21",
        "status": "A",
        "authorized_official_last_name": "OLAGBEGI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MODUPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-313-1700"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "HP0200100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.