Organization Active NPI

Grey Havens LLC

  • In Home Supportive Care Agency
  • Granville, OH
National Provider Identifier
1134434921
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREY HAVENS LLC
Practice address
1893 Columbus Rd
Granville, OH 43023-1235
Phone
(740) 321-3330
Fax
(740) 321-3335
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Mrs. Amy L Huddleston
Title
Owner
Phone
(740) 321-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1893 Columbus Rd
Granville, OH 43023-1235

Mailing address

1893 Columbus Rd
Granville, OH 43023-1235
Phone (740) 321-3330

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

1893 Columbus Rd
Granville, OH 43023
Phone (740) 321-3330

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1134434921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1893 COLUMBUS RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231235",
            "telephone_number": "740-321-3330",
            "fax_number": "740-321-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1893 COLUMBUS RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231235",
            "telephone_number": "740-321-3330",
            "fax_number": "740-321-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY HAVENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-321-3330",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.