Active NPI
Grace
- Physical Disabilities Residential Treatment Facility
- Pickerington, OH
National Provider Identifier
1366761124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- 137701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.