Grace Adult Day Care Center LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACE ADULT DAY CARE CENTER LLC

Practice address

2060 S Havana St
Aurora, CO 80014-1014

Phone

(303) 750-0036

NPI assigned

Dec 1, 2017

Last updated

Jan 5, 2018By 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

Yeong S Richardson, REGISTERED NURSENPI 1629582952

Title

Registered Nurse/Administrator

Phone

(720) 277-5116

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yeong Richardson

  • Administrator Registered Nurse
  • Aurora, CO
  • NPI 1629582952
  Authorized official Same address or phone

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515110400000",
    "number": "1295240042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141014",
            "telephone_number": "303-750-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 S HAVANA ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141014",
            "telephone_number": "303-750-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ADULT DAY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2018-01-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "YEONG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTERED NURSE/ADMINISTRATOR",
        "authorized_official_telephone_number": "720-277-5116",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "CO",
            "license": "RN0185593",
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose David Gozalo Diaz, DDS,MS
• Emily Rose Grabau
• Sophia Graben, CPNP-AC
• Grace & Comfort Group LLC
• Grace & Comfort Group LLC
• Grace Clinic Laboratory
• Grace Community Care LLC
• Grace Health Clinic
• Grace Health Pharmacy
• Grace Health Pharmacy

• Adult Day Care Clinic/Center in Aurora, CO
• Providers in Aurora, CO by specialty
• Adult Day Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.