Stroke of Grace

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906634 Issued in FL

Legal business name

STROKE OF GRACE

Practice address

4002 Thonotosassa Rd
Plant City, FL 33565-5916

Phone

(813) 752-1470

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Jeremiah Fortson

Title

Administrator/Vice President

Phone

(813) 752-1470

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1114332715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655916",
            "telephone_number": "813-752-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335655916",
            "telephone_number": "813-752-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROKE OF GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "FORTSON",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR/VICE PRESIDENT",
        "authorized_official_telephone_number": "813-752-1470"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010829800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret Brown Stevenson
• Cheryl Diane Stockton, LMT
• Richard Ralph Stoughton, M.D.
• Stephen M Strait, D.O.
• Kimberly Streiff, RN
• Stuart K Harrell OD LLC
• Diana Carolina Suarez Aldana, PTA
• Sugar Dogs International, Inc.
• Suncoast Community Health Center, Inc (Women and Children Community Health Center)
• Suncoast Community Health Centers Inc (Suncoast Community Health Center Pediatrics)

• Adult Care Home Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.