Organization Active NPI

Grace

  • Physical Disabilities Residential Treatment Facility
  • Pickerington, OH
National Provider Identifier
1366761124
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
137701 Issued in OH
Legal business name
GRACE
Practice address
8590 Cranberry LN
Pickerington, OH 43147-9441
Phone
(614) 554-6671
NPI assigned
May 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Authorized official

Name
Ms. Grace Titilola Ladipo
Title
Licensed Practical Nurse
Phone
(614) 554-6671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 137701 OH
Physical Disabilities Residential Treatment Facility 320700000X 137701 OH Primary

Addresses

Primary practice location

8590 Cranberry LN
Pickerington, OH 43147-9441

Mailing address

8590 Cranberry LN
Pickerington, OH 43147-9441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274227200000",
    "number": "1366761124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8590 CRANBERRY LN",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8590 CRANBERRY LN",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479441",
            "telephone_number": "614-554-6671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "TITILOLA",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "614-554-6671",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "137701",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "OH",
            "license": "137701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; 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.