Organization Active NPI

Grace Recovery and Wellness Center

  • Addiction (Substance Use Disorder) Counselor
  • North Chesterfield, VA
National Provider Identifier
1174066955
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
GRACE RECOVERY AND WELLNESS CENTER
Practice address
8217 Hull Street Rd
North Chesterfield, VA 23235-6413
Phone
(804) 399-9042
Fax
(877) 244-4588
NPI assigned
Nov 28, 2016
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
DAILY GRACE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Ms. Sharon L Taha, CPRP
Title
Executive Director
Phone
(804) 399-9042

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

8217 Hull Street Rd
North Chesterfield, VA 23235-6413

Mailing address

PO Box 3382
Glen Allen, VA 23058-3382
Phone (804) 399-9042

Other identifiers 1

IdentifierTypeStateIssuer
1982901245OtherVANPI

National Provider Directory

National Provider Directory
Tax ID family
Daily Grace LLC2 organizations share this tax ID, including this one
Part of
Daily Grace LLC

Other organizations with this tax ID 1

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

Locations

8217 Hull Street Rd
North Chesterfield, VA 23235
Phone (804) 399-9042

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1174066955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3382",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230583382",
            "telephone_number": "804-399-9042",
            "fax_number": "877-244-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8217 HULL STREET RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232356413",
            "telephone_number": "804-399-9042",
            "fax_number": "877-244-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RECOVERY AND WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAILY GRACE LLC",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "TAHA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-399-9042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPRP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1982901245",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.