Grace HS LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

24015 Issued in NJ

Legal business name

GRACE HS LLC

Doing business as

Grace Healthcare Services, LLC

Practice address

105 Fieldcrest Ave
Suite 402
Edison, NJ 08837-3628

Phone

(866) 447-0246

NPI assigned

Oct 15, 2015

Last updated

Oct 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sam Stern

Title

Cfo

Phone

(718) 567-0400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Healthcare Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1285005272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14C 53RD ST",
            "address_2": "SUITE 220",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112322644",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FIELDCREST AVE",
            "address_2": "SUITE 402",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373628",
            "telephone_number": "866-447-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "24015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108707",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Healthcare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ann Gosselin
• Vrishali Govitrikar, DMD
• Urszula Gozdz, RPH
• Wayne Graber, D.D.S.
• Grace Healthcare Services LLC
• Warren Lee Grace III, M.D.
• Leon Grant, DPT
• Molly Grant, LAT, ATC
• Robin Denise Grant
• Jennifer Grayer, PHARMD

• Community Based Hospice Care Agency in Edison, NJ
• Providers in Edison, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; 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.