Grace Estates LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACE ESTATES LLC

Practice address

801 NE Venture Dr
Waukee, IA 50263-9411

Phone

(515) 415-4348

Fax

(515) 864-0223

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Mr. David Baker

Title

Managing Partner

Phone

(763) 898-2053

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1275211971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NE VENTURE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639411",
            "telephone_number": "515-415-4348",
            "fax_number": "515-864-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NE VENTURE DR",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502639411",
            "telephone_number": "515-415-4348",
            "fax_number": "515-864-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ESTATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "763-898-2053",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Elizabeth Gibbs
• Tanya Goad, MS, TLMHC
• William B Goble, D.O.
• Madeline Claire Godar, MD
• Erin Good, RD LD
• Graceful Home Care LLC
• Lori Graff
• Kimberly R Grassel, RPT
• Greater Des Moines Orthodontics PLLC
• Tyler Green, PT, DPT

• Adult Day Care Clinic/Center in Waukee, IA
• Providers in Waukee, IA by specialty
• Adult Day Care Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.