His Grace Medical LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

35084618 Issued in OH

Legal business name

HIS GRACE MEDICAL LLC

Practice address

6055 Cleveland Ave
Columbus, OH 43231-2256

Phone

(614) 315-1836

Fax

(888) 491-4030

NPI assigned

Nov 5, 2007

Last updated

Jan 22, 2014By 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

Mrs. Feyisayo Oluwatosin Tolani

Title

RN/Office Manager

Phone

(614) 315-1836

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• 6055 Cleveland Avenue Former legal business name

Locations

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.

• Samson Oluwafemi Ilori, DNP, FNP-BC, NP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1770921652
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1346420668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6055 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312256",
            "telephone_number": "614-315-1836",
            "fax_number": "888-491-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6055 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312256",
            "telephone_number": "614-315-1836",
            "fax_number": "888-491-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "TOLANI",
        "authorized_official_first_name": "FEYISAYO",
        "authorized_official_middle_name": "OLUWATOSIN",
        "authorized_official_title_or_position": "RN/OFFICE MANAGER",
        "authorized_official_telephone_number": "614-315-1836",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35084618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509020",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "6055 Cleveland Avenue",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anirudh Ajay Hirve, MD
• His & Her Mindset Wellness Collective
• His Grace Healthcare LLC
• His Grace Home Health Care, LLC
• His Grace Medical
• Alicia Marie Hisey, FNP-C
• Gracie Ann Hisey
• Meghan M Hiss, AU.D., CCC-A
• Charles L Hitchcock, MD
• Andrea Hitchens, RN

• Primary Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; 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.