Graces Palaces

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL12295 Issued in FL

Legal business name

GRACES PALACES

Practice address

1198 SE Petunia Ave
Port St Lucie, FL 34952-5323

Phone

(772) 353-5235

Fax

(772) 398-4238

NPI assigned

Aug 28, 2013

Organization subpart

No

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

Authorized official

Name

Ethel Newton

Title

Administrator

Phone

(772) 626-6161

Specialties & licenses 1

Addresses

Other names 1

• graces palaces Doing business as

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1194159996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 SE PETUNIA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525323",
            "telephone_number": "772-353-5235",
            "fax_number": "772-398-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 SE PETUNIA AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525323",
            "telephone_number": "772-353-5235",
            "fax_number": "772-398-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACES PALACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "NEWTON",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-626-6161"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL12295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "graces palaces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Senior Living
• Grace Senior Living, LLC
• Grace Senior Living, LLC
• Grace Senior Living, LLC
• Nakeem O Grace
• Ashley Grady, PTA
• Stephen Graham II, MD, MS
• Diana Grajales
• Eugenie Grant, CNA/PERS. ASST.
• Nickole M Grant, LCSW

• Assisted Living Facility in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.