Grace Church Community Center, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

6012L001 Issued in NY

Legal business name

GRACE CHURCH COMMUNITY CENTER, INC

Practice address

148 Hamilton Ave
2ND Floor
White Plains, NY 10601-1702

Phone

(914) 949-3112

Fax

(914) 949-5952

NPI assigned

Aug 24, 2007

Organization subpart

Yes

Parent organization

GRACE CHURCH COMMUNITY CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mr. Paul Anderson-Winchell

Title

Ceo

Phone

(914) 949-3098

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Neighbors Program Doing business as

Tax ID family

Grace Church Community Center3 organizations share this tax ID, including this one

Part of

Grace Church Community Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Church Community Center

  • Case Management Agency
  • White Plains, NY
  • NPI 1003172743
  NPD tax ID
• Grace Church Community Center

  • Voluntary or Charitable Agency
  • White Plains, NY
  • NPI 1124398508
  NPD tax ID

Locations

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1164615951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 N BROADWAY",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033710",
            "telephone_number": "914-949-3098",
            "fax_number": "914-761-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 HAMILTON AVE",
            "address_2": "2ND FLOOR",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011702",
            "telephone_number": "914-949-3112",
            "fax_number": "914-949-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHURCH COMMUNITY CENTER, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE CHURCH COMMUNITY CENTER, INC",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-WINCHELL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-949-3098",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "6012L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01794729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighbors Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura E Goulden
• Shikha Goyal, MD
• Hannah M Graber
• Grace Church Community Center
• Grace Church Community Center
• Mindy Susan Gradowitz, O.D.
• Joan Grossman Grady, MA, CCC-SP
• Bridget Graham, RPH
• Malcolm Sandford Graham, D.D.S.
• Otecia Graham

• Home Health Agency in White Plains, NY
• Providers in White Plains, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.