Grace PCH Caring Hand, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACE PCH CARING HAND, INC.

Practice address

675 Brand South TRL
Lawrenceville, GA 30046-8865

Phone

(678) 463-5695

NPI assigned

Mar 21, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ama Okivie

Title

Ceo

Phone

(678) 463-5695

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269129600000",
    "number": "1407170392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BRAND SOUTH TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BRAND SOUTH TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468865",
            "telephone_number": "678-463-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PCH CARING HAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A",
        "authorized_official_last_name": "OKIVIE",
        "authorized_official_first_name": "AMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-463-5695",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451656787A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradford M Gould, M.D.
• Kristina E. Gould, M.D.
• Adam Gover, MD
• Michael Warren Gower, MD
• Jacob Gowler, BCBA
• Shawnjiria Grace, RBT
• Graceann Case Management Services LLC
• Gracious Health & Human Services Inc
• Gradual Behavioral Health
• Jason Grady, PARAMEDIC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.