Group Residential and Care Establishment

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

71301001 Issued in VA

Legal business name

GROUP RESIDENTIAL AND CARE ESTABLISHMENT

Doing business as

GRACE, Inc.

Practice address

2021B Cunningham Dr
Suite 3
Hampton, VA 23666-3326

Phone

(757) 325-8399

Fax

(757) 325-8321

NPI assigned

Sep 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Rodney Jerome Hawkins

Title

Director

Phone

(757) 325-8399

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• GRACE, Inc. Doing business as

Locations

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442793600000",
    "number": "1144699034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8227",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236660280",
            "telephone_number": "757-325-8399",
            "fax_number": "757-325-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021B CUNNINGHAM DR",
            "address_2": "SUITE 3",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663326",
            "telephone_number": "757-325-8399",
            "fax_number": "757-325-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP RESIDENTIAL AND CARE ESTABLISHMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2015-09-21",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-325-8399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "71303011",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "71301001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101420900",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alyssa Griffith, M.S., CCC-SLP
• Jon Griffiths, MD
• Judia Griner, CF-SLP
• Carla Groshel, PA-C
• Leroy Patrick Gross, MD
• Alyssia Grundy
• Colleen Grunhaus, LPC
• Daniel Grunhaus, LPC
• William Agur Grunow, M.D.
• Jamie Danielle Guertin, C.N.M.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hampton, VA
• Providers in Hampton, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.