NPIMap

Organization Active NPI

Great Grace Home Care and Behavioral Health, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1184039372
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
S1303301 Issued in OH
Legal business name
GREAT GRACE HOME CARE AND BEHAVIORAL HEALTH, LLC
Practice address
5499 Mesa Ridge LN
E
Columbus, OH 43231-6722
Phone
(412) 294-3175
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Eric EghanNPI 1013327667
Title
Co-Owner and Ceo
Phone
(412) 294-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X S1303301 OH
Developmentally Disabled Services Day Training Agency 251C00000X S1303301 OH
Home Health Agency 251E00000X S1303301 OH Primary
Community/Behavioral Health Agency 251S00000X S1303301 OH
In Home Supportive Care Agency 253Z00000X S1303301 OH

Addresses

Primary practice location

5499 Mesa Ridge LN
E
Columbus, OH 43231-6722

Mailing address

7422 Maple Spice Ave
Canal Winchester, OH 43110-8073
Phone (412) 294-3175

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1184039372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7422 MAPLE SPICE AVE",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108073",
            "telephone_number": "412-294-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5499 MESA RIDGE LN",
            "address_2": "E",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432316722",
            "telephone_number": "412-294-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT GRACE HOME CARE AND BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "EGHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CO-OWNER AND CEO",
        "authorized_official_telephone_number": "412-294-3175"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "S1303301",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "S1303301",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "S1303301",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S1303301",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "S1303301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.