Grace Health Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

GRACE HEALTH CLINIC

Practice address

3191 S Vaughn Way Ste 101
Aurora, CO 80014-3505

Phone

(303) 755-4600

Fax

(303) 745-3884

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Belibi, M.D.

Title

Administrator

Phone

(303) 755-4600

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Grace Health Centers Other name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Tax ID family

Grace Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Clinic Laboratory

  • Clinical Medical Laboratory
  • Aurora, CO
  • NPI 1205234085
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Grace Clinic Laboratory

  • Clinical Medical Laboratory
  • Aurora, CO
  • NPI 1205234085
  NPPES parent name

Practitioners 2

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

• Franck Armand Belibi, M.D.

  • Nephrology Physician
  • Aurora, CO
  • NPI 1831211069
  Medicare reassignment NPD
• Suzanne Essengue Belibi, M.D.

  • Pediatric Allergy/Immunology Physician
  • Aurora, CO
  • NPI 1265558571
  Medicare reassignment NPD

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1275864449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3191 S VAUGHN WAY STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143505",
            "telephone_number": "303-755-4600",
            "fax_number": "303-745-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3191 S VAUGHN WAY STE 101",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800143505",
            "telephone_number": "303-755-4600",
            "fax_number": "303-745-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "BELIBI",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "303-755-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42806046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Health Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace & Comfort Group LLC
• Grace & Comfort Group LLC
• Grace Adult Day Care Center LLC
• Grace Clinic Laboratory
• Grace Community Care LLC
• Grace Health Pharmacy
• Grace Health Pharmacy
• Grace Home Healthcare Services
• Grace Hope Services
• Grace Medical LLC

• Health Service Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.