C&G'S Grace Place LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

C&G'S GRACE PLACE LLC

Practice address

6763 Krenson Oaks Cir
Lakeland, FL 33810-2157

Phone

(813) 468-5303

Fax

(863) 578-3659

NPI assigned

Aug 19, 2019

Organization subpart

No

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

Authorized official

Name

Latesha Gaskikns

Title

Owner

Phone

(813) 468-5303

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.

• Latesha Vontrice Gaskins

  • Developmentally Disabled Services Day Training Agency
  • Lakeland, FL
  • NPI 1932662467
  NPD (past)

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1376190025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6763 KRENSON OAKS CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102157",
            "telephone_number": "813-468-5303",
            "fax_number": "863-578-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6763 KRENSON OAKS CIR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102157",
            "telephone_number": "813-468-5303",
            "fax_number": "863-578-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C&G'S GRACE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "GASKIKNS",
        "authorized_official_first_name": "LATESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-468-5303"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buzzy Bee Pediatric OT
• By the Bay Nemt Services LLC
• Nichole Byer, PTA
• Brian Byun, MD
• C & S Health Services
• Thalleia Rose Cabanban, SLPA
• Nisrine Cabani, D.M.D
• Virgilio S Cabigas, MD
• Alexas Avery Cabral
• Coralia Yuliet Cabrera

• Developmental Disabilities Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

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