Dei Gracia Healthcare LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

DEI GRACIA HEALTHCARE LLC

Practice address

909 N Cunningham Ave
Urbana, IL 61802-1744

Phone

(217) 607-8110

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Nathalie Rosine Kori Nkenlifack Manhenkeu, APRNNPI 1609543248

Title

Manager

Phone

(217) 819-7328

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Nathalie Rosine Kori Nkenlifack Manhenkeu, FNP

  • Family Nurse Practitioner
  • Urbana, IL
  • NPI 1609543248

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1235018987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 OGELTHORPE AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618024749",
            "telephone_number": "217-819-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 N CUNNINGHAM AVE",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618021744",
            "telephone_number": "217-607-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEI GRACIA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "KORI NKENLIFACK MANHENKEU",
        "authorized_official_first_name": "NATHALIE ROSINE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-819-7328",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Ann Decelle, PT, LPC
• Elizabeth L Deddo, NP
• Christopher Deese, MD
• Dei Gracia Community Health Foundation NFP
• Dei Gracia Community Health Foundation NFP
• Ian Dejaynes
• Michelle Dellorso
• Meghan Diane Deloriea, CRNA
• Sarah J Deneal, PT
• Leslie Ann Fermin Depayso, APRN

• All providers in Urbana, IL
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.