Grayfish LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRAYFISH LLC

Practice address

6703 SW Shadyvale LN
Topeka, KS 66619-1312

Phone

(785) 431-8277

Fax

(785) 266-3203

NPI assigned

Jan 29, 2022

Organization subpart

Yes

Parent organization

HILLSIDE MEDICAL CONNECTIONSAs reported in NPPES

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

Authorized official

Name

Mr. Shaun J Fishback

Title

Owner

Phone

(785) 431-8277

Specialties & licenses 6

Addresses

Other names 1

• Hillside Medical Connections Doing business as

Part of

Grayfish LLC

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1154074284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 SW SHADYVALE LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666191312",
            "telephone_number": "785-431-8277",
            "fax_number": "785-266-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 SW SHADYVALE LN",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666191312",
            "telephone_number": "785-431-8277",
            "fax_number": "785-266-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYFISH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSIDE MEDICAL CONNECTIONS",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "FISHBACK",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-431-8277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Medical Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Jo Grant, MD
• Ashley M Granville
• Jay Paul Gray, PA-C
• Melanie Alyssia Gray, FNP-BC
• Siobhan L Gray, APRN
• Jennifer Carre' Green
• Suzanna Laurel Green, LMSW
• Green'S Home Improvement LLC
• Mark Greenberg, MD
• Cynthia Joleen Greene, CRTT

• In Home Supportive Care Agency in Topeka, KS
• Providers in Topeka, KS by specialty
• In Home Supportive Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.