Gracehaven Afh LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

GRACEHAVEN AFH LLC

Practice address

14910 E 16TH Ave
Spokane Valley, WA 99037-8608

Phone

(509) 499-0825

NPI assigned

Jun 15, 2023

Organization subpart

No

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

Authorized official

Name

Olubukonla AlabiNPI 1598538266

Title

Manager

Phone

(509) 499-0825

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olubukonla Elizabeth Alabi

  • Registered Nurse
  • Spokane Valley, WA
  • NPI 1598538266
  NPD Authorized official

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1366126641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14910 E 16TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14910 E 16TH AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378608",
            "telephone_number": "509-499-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEHAVEN AFH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "OLUBUKONLA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "509-499-0825"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elicia Grace Goodwin
• Gordon Physical Therapy, PLLC
• Luke S Gordon, PT
• Robert S Gordon, PT CPT
• Graceful Adult Family Home LLC.
• Ann Marie Graczyk, MA,CCC-SLP
• Chamellia Graham
• Diane Michelle Graham
• Ebony Montezz Graham
• James Scott Graham, M.S.

• Registered Nurse in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.