Grace House of Baton Rouge, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE HOUSE OF BATON ROUGE, INC.

Practice address

9800 Airline Hwy Ste 105
Baton Rouge, LA 70816-8000

Phone

(225) 993-0486

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Ebony BrownNPI 1043755564

Title

Executive Director

Phone

(225) 993-0486

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 2

• Grace Community Living Adult Day Program Doing business as
• Grace at Home Personal Care Doing business as

Locations

Practitioners 3

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

• Ebony Brown

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1043755564
  NPD Authorized official
• Justin Deanthony Dyer, MD

  • Family Medicine Physician
  • Port Allen, LA
  • NPI 1093211948
  NPD
• Marquita Smith, NURSE PRACTITIONER

  • Primary Care Nurse Practitioner
  • Manvel, TX
  • NPI 1790478089
  NPD

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1225630726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "BAKER",
            "state": "LA",
            "postal_code": "707040485",
            "telephone_number": "225-955-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 AIRLINE HWY STE 105",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168000",
            "telephone_number": "225-993-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOUSE OF BATON ROUGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "225-993-0486"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "XX00000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Community Living Adult Day Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace at Home Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace and Glory Adhc
• Grace Care LLC
• Grace Family Medical Center
• Grace for Grace Personal Care Services
• Grace Healthcare Incorporated
• Grace Kidney Care
• Grace Therapy Center, LLC
• Lori S Grace, NP
• Grace'S Nemt LLC
• Graceful Chariot Transporters

• Assisted Living Facility in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Assisted Living Facility in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.