Grace Regional Medical Care L.L.C.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

0001212360 Issued in VA

Legal business name

GRACE REGIONAL MEDICAL CARE L.L.C.

Practice address

409 Tapestry Park Dr
Unit 826
Chesapeake, VA 23320-5060

Phone

(757) 502-3402

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Chacon Drakeford, RN

Title

Ceo

Phone

(757) 502-3402

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1194077065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233271507",
            "telephone_number": "757-502-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 TAPESTRY PARK DR",
            "address_2": "UNIT 826",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205060",
            "telephone_number": "757-502-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE REGIONAL MEDICAL CARE L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "DRAKEFORD",
        "authorized_official_first_name": "CHACON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-502-3402",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "0001212360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lee Gosman, FNP-BC
• David G Goss, M.D.
• Deniz O Goss, P.A.
• Kristin Huysman Grabill, PA C
• Adam Grabowski, DDS
• Grace Senior Home Healthcare LLC
• Grace Stars Services LLC
• Graceful Hands Homecare LLC
• Gracefully Connected, LLC
• Gracefully Living Home Health, LLC

• In Home Supportive Care Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.