Organization Active NPI

Pearls of Grace, Inc.

  • Case Management Agency
  • Louisville, KY
National Provider Identifier
1194491308
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
PEARLS OF GRACE, INC.
Practice address
414 Baxter Ave Ste 205
Louisville, KY 40204-1198
Phone
(407) 917-2028
NPI assigned
Aug 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Nigisti Hismith
Title
Executive Director
Phone
(407) 917-2028

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

414 Baxter Ave Ste 205
Louisville, KY 40204-1198

Mailing address

424 E Central Blvd # 545
Orlando, FL 32801-1923

National Provider Directory

National Provider Directory
Tax ID family
Pearls of Grace Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1194491308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E CENTRAL BLVD # 545",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 BAXTER AVE STE 205",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041198",
            "telephone_number": "407-917-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARLS OF GRACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "HISMITH",
        "authorized_official_first_name": "NIGISTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "407-917-2028"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.