Organization Active NPI

Grace Rose Home Care, LLC

  • Home Health Agency
  • Trenton, MI
National Provider Identifier
1194474148
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE ROSE HOME CARE, LLC
Practice address
2836 W Jefferson Ave Ste 113
Trenton, MI 48183-2902
Phone
(734) 624-0193
NPI assigned
Mar 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2022

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

Authorized official

Name
Amanda Teper
Title
Owner
Phone
(734) 624-0193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2836 W Jefferson Ave Ste 113
Trenton, MI 48183-2902

Mailing address

2836 W Jefferson Ave Ste 113
Trenton, MI 48183-2902

National Provider Directory

National Provider Directory

Locations

2836 W Jefferson Ave
Ste 113
Trenton, MI 48183
Phone (734) 624-0193

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1194474148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2836 W JEFFERSON AVE STE 113",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2836 W JEFFERSON AVE STE 113",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832902",
            "telephone_number": "734-624-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ROSE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "TEPER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-624-0193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.