Organization Active NPI

His Grace Medical

  • Skilled Nursing Facility
  • Columbus, OH
National Provider Identifier
1407289408
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
14996 Issued in OH
Legal business name
HIS GRACE MEDICAL
Practice address
5925 Cleveland Ave
Columbus, OH 43231-2202
Phone
(614) 586-4010
NPI assigned
Aug 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Authorized official

Name
Dr. Olugbenga F Tolani, M.DNPI 1255439675
Title
Internist
Phone
(614) 315-1835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 14996 OH Primary

Addresses

Primary practice location

5925 Cleveland Ave
Columbus, OH 43231-2202

Mailing address

5925 Cleveland Ave
Columbus, OH 43231-2202
Phone (614) 586-4010

National Provider Directory

National Provider Directory

Locations

5925 Cleveland Ave
Columbus, OH 43231
Phone (614) 586-4010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1407289408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312202",
            "telephone_number": "614-586-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312202",
            "telephone_number": "614-586-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "TOLANI",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "INTERNIST",
        "authorized_official_telephone_number": "614-315-1835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "14996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.