Grace Community Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

011-01-114-1 Issued in GA

Legal business name

GRACE COMMUNITY LIVING

Practice address

2402 Anthony Ter
Macon, GA 31206-3120

Phone

(478) 788-9706

Fax

(347) 710-9329

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffani Alyce Brown, RN

Title

Administrator/Ceo

Phone

(478) 747-9329

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1245532985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 WESTMINISTER DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312044844",
            "telephone_number": "478-254-4129",
            "fax_number": "347-710-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 ANTHONY TER",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312063120",
            "telephone_number": "478-788-9706",
            "fax_number": "347-710-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "ALYCE",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "478-747-9329",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "GA",
            "license": "011-01-114-1",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "011-01-114-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Govner, FNP
• Michelle Morton Gowan, R.PH.
• Kierra Grable
• Victoria Grabowski, CST, CSFA, AA-S
• Grace and Mercy Home Care
• Grace Eboh Home Care LLC.
• Grace Family Practice
• Sarah Marie Graff, MD
• Christopher Graham, NP-C
• Jordan Graham, PA

• Adult Care Home Facility in Macon, GA
• Providers in Macon, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.