With Grace Supportive Living

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WITH GRACE SUPPORTIVE LIVING

Practice address

1108 Gleneagle Rd
Baltimore, MD 21239-2254

Phone

(410) 982-8834

NPI assigned

Apr 22, 2022

Organization subpart

No

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

Authorized official

Name

Loretha J Jones

Title

Owner

Phone

(141) 098-2883

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1316681794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 STAMFORD RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212291240",
            "telephone_number": "410-982-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 GLENEAGLE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392254",
            "telephone_number": "410-982-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 Stamford Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212291240",
            "country_code": "US",
            "telephone_number": "410-982-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WITH GRACE SUPPORTIVE LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LORETHA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "141-098-2883"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristina Grace Witcher, MD
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• Aniya Witherspoon
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• Corey Witherspoon
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• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.