His Grace Enterprise,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HIS GRACE ENTERPRISE,INC

Practice address

318 Forest Blvd
Park Forest, IL 60466-2005

Phone

(708) 283-0743

Fax

(708) 283-0744

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ogunwale Tolulope Folaju, M.D

Title

Administrator

Phone

(708) 283-0743

Specialties & licenses 1

Addresses

Other names 1

• His Grace Home Healthcare,Inc. Doing business as

Locations

Practitioners 1

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

• Oluyemisi Oludoyin Adebayo, APN/CNM/NP

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1629098009
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1235160987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662005",
            "telephone_number": "708-283-0743",
            "fax_number": "708-283-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 FOREST BLVD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662005",
            "telephone_number": "708-283-0743",
            "fax_number": "708-283-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE ENTERPRISE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FOLAJU",
        "authorized_official_first_name": "OGUNWALE",
        "authorized_official_middle_name": "TOLULOPE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-283-0743",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "His Grace Home Healthcare,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.