Aja M Grace, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

153335 Issued in OH

Practice address

10909 Sandusky Ave
Cleveland, OH 44105-2462

Phone

(216) 544-1484

NPI assigned

Mar 15, 2014

Last updated

Mar 15, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1174949069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 SANDUSKY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052462",
            "telephone_number": "216-544-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10909 SANDUSKY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441052462",
            "telephone_number": "216-544-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "AJA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-15",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "153335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Grabowski
• Shawna Grabski, RBT
• Grace Haven Living LLC
• Grace Hospital
• Grace Living Support LLC
• Breanne Martina Grace, RN
• Claire Elizabeth Grace
• Daresha Joy Grace, RN
• John Grace, CDCA
• Kristen Grace

• Licensed Practical Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.