With Grace, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

WITH GRACE, LLC

Doing business as

With Grace, LLC

Practice address

20129 Scottsdale Blvd
Shaker Heights, OH 44122-6460

Phone

(216) 482-1466

NPI assigned

Feb 13, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Andrea Natasha Boyd, MBA-CED

Title

Ceo

Phone

(216) 482-1466

Specialties & licenses 1

Addresses

Other names 1

• With Grace, LLC Doing business as

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1326671827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20129 SCOTTSDALE BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441226460",
            "telephone_number": "216-482-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20129 SCOTTSDALE BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441226460",
            "telephone_number": "216-482-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITH GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "NATASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-482-1466",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA-CED"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "With Grace, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "With Grace, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.