Grace Eldercare, Rcfe

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRACE ELDERCARE, RCFE

Practice address

2610 Francisco Way
El Cerrito, CA 94530-1531

Phone

(510) 233-9693

Fax

(510) 215-9402

NPI assigned

Feb 11, 2019

Organization subpart

No

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

Authorized official

Name

Chang Lee, MANAGER

Title

Administrator

Phone

(510) 233-9693

Specialties & licenses 1

Addresses

Other names 1

• Grace Eldercare, RCFE Doing business as

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1376009746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 FRANCISCO WAY",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301531",
            "telephone_number": "510-233-9693",
            "fax_number": "510-215-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 FRANCISCO WAY",
            "city": "EL CERRITO",
            "state": "CA",
            "postal_code": "945301531",
            "telephone_number": "510-233-9693",
            "fax_number": "510-215-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ELDERCARE, RCFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CHANG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-233-9693",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Eldercare, RCFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camila Gomez
• Maria Paz Gonzalez Cordero, LMFT
• Leticia Mariana Gonzalez, F.N.P.
• Kathryn Anne Gordon
• Jessica L R Gore, AMFT #158919
• Aaron Matthew Gray, CNA
• Tacorra Gray
• Kassondra Grayson
• Ruth Greenberg, MFT
• Susan Marinel Greene, PH.D.

• Adult Care Home Facility in El Cerrito, CA
• Providers in El Cerrito, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.