Grace Klinic, LLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

GRACE KLINIC, LLC

Practice address

6516 Falls of Neuse Rd
110
Raleigh, NC 27615-6847

Phone

(919) 884-6191

NPI assigned

Jan 27, 2017

Organization subpart

No

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

Authorized official

Name

Eddyson Okhihan

Title

Ceo

Phone

(919) 884-6191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1164969168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 FALLS OF NEUSE RD",
            "address_2": "110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156847",
            "telephone_number": "919-884-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 FALLS OF NEUSE RD",
            "address_2": "110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156847",
            "telephone_number": "919-884-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE KLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "OKHIHAN",
        "authorized_official_first_name": "EDDYSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-884-6191"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Clinical Services, LLC
• Grace Federal Solutions LLC
• Grace Health Care Services Inc.
• Grace Health Services
• Grace Home Care Inc.
• Grace Medical Supplies Inc
• Grace Within Transitions Foundation
• Brittany H Grace
• Rory Tynan Grace, M.D.
• Graceful Blessings Transport

• Medical Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.