Organization Active NPI

Grace Abound LLC

  • Substance Abuse Rehabilitation Facility
  • Kingsley, MI
National Provider Identifier
1235705443
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRACE ABOUND LLC
Practice address
4050 Pole Building Dr
Kingsley, MI 49649-8212
Phone
(231) 735-3705
NPI assigned
May 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Authorized official

Name
Mrs. Dolores A. Allison, MBA
Title
Case Manager
Phone
(989) 286-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4050 Pole Building Dr
Kingsley, MI 49649-8212

Mailing address

PO Box 289
Caro, MI 48723-0289
Phone (989) 286-3777

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622160000000",
    "number": "1235705443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487230289",
            "telephone_number": "989-286-3777",
            "fax_number": "989-672-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 POLE BUILDING DR",
            "city": "KINGSLEY",
            "state": "MI",
            "postal_code": "496498212",
            "telephone_number": "231-735-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ABOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CASE MANAGER",
        "authorized_official_telephone_number": "989-286-3777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.