Grace Haven Ministries

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE HAVEN MINISTRIES

Practice address

1709 Johnson Rd
Springdale, AR 72762-6022

Phone

(501) 420-4515

NPI assigned

Apr 4, 2017

Organization subpart

No

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

Authorized official

Name

Annie Martin

Title

Director of Family Services

Phone

(479) 633-2288

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491264000000",
    "number": "1407389794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 956",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727570956",
            "telephone_number": "501-420-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 JOHNSON RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626022",
            "telephone_number": "501-420-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-04",
        "last_updated": "2017-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "DIRECTOR OF FAMILY SERVICES",
        "authorized_official_telephone_number": "479-633-2288"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Rose Gorham, PA-C
• Bailey Ann Gotte
• Bailey Gould
• Staci Marie Graber, APN
• Grace Family Medical, LLC (Rehydration Station and Aesthetics)
• Maria T Grace, LCSW
• Sally L Grace, A.P.N.
• Caisa Gracie, LMSW
• Alicia Leah Graham, MHPP
• Alyson Jade Graham

• Community/Behavioral Health Agency in Springdale, AR
• Providers in Springdale, AR by specialty
• Community/Behavioral Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.