Graceland Support Services LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

GRACELAND SUPPORT SERVICES LLC

Practice address

2511 W Schrock Rd
Westerville, OH 43081-8956

Phone

(614) 568-3441

NPI assigned

Oct 20, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Joseph K Amponsah

Title

Ceo

Phone

(614) 568-3441

Specialties & licenses 1

Addresses

Other names 1

• GRACELAND Other name

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1316664337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818956",
            "telephone_number": "614-568-3441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430818956",
            "telephone_number": "614-568-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "AMPONSAH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-568-3441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACELAND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Asha Gowda, MD, MS
• Akash Goyal, MD
• Lindsey Nicole Grabiec, MS
• Aaron Z Grabovich, AA
• Grace Medical
• Amy L Graham, RPH
• Bruce W Graham, MD
• Denise M Graham, RN,CNP
• Holly Graham, LPCC, LSW
• Jamie Graham, PMHNP

• Child Intellectual and/or Developmental Disabilities Respite Care in Westerville, OH
• Providers in Westerville, OH by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.