Organization Active NPI

Grateful-Place LLC

  • In Home Supportive Care Agency
  • Urbandale, IA
National Provider Identifier
1144050568
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRATEFUL-PLACE LLC
Practice address
7012 Madison Ave Ste F&G
Urbandale, IA 50322-2664
Phone
(515) 446-9682
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Taiwa Nyumah Zeon, CNA
Title
Founder
Phone
(515) 446-9682

Specialties & licenses 1

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

Addresses

Primary practice location

7012 Madison Ave Ste F&G
Urbandale, IA 50322-2664

Mailing address

2407 SE Delaware Ave # 1162
Ankeny, IA 50021-4470
Phone (515) 446-9682

National Provider Directory

National Provider Directory

Locations

7012 Madison Ave
Ste Fg
Urbandale, IA 50322
Phone (515) 446-9682

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1144050568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 SE DELAWARE AVE # 1162",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500214470",
            "telephone_number": "515-446-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7012 MADISON AVE STE F&G",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503222664",
            "telephone_number": "515-446-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL-PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "ZEON",
        "authorized_official_first_name": "TAIWA",
        "authorized_official_middle_name": "NYUMAH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "515-446-9682",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.