Organization Active NPI

Grace Compassionate Health Care

  • Home Health Agency
  • Ft Washington, MD
National Provider Identifier
1417490277
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R191772 Issued in MD
Legal business name
GRACE COMPASSIONATE HEALTH CARE
Practice address
113 River Forest LN
Ft Washington, MD 20744-6240
Phone
(443) 597-6042
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2017

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

Authorized official

Name
Alexis Gillespie, CRNP
Title
President/CRNP
Phone
(443) 597-6042

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R191772 MD Primary
Skilled Nursing Facility 314000000X R191772 MD

Addresses

Primary practice location

113 River Forest LN
Ft Washington, MD 20744-6240

Mailing address

11550 Livingston Rd
PO Box 441561
Fort Washington, MD 20749-7599
Phone (443) 597-6042

National Provider Directory

National Provider Directory

Locations

11550 Livingston Rd
Unit 441561
Fort Washington, MD 20749

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488499200000",
    "number": "1417490277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 LIVINGSTON RD",
            "address_2": "PO BOX 441561",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207497599",
            "telephone_number": "443-597-6042",
            "fax_number": "410-672-2181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 RIVER FOREST LN",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207446240",
            "telephone_number": "443-597-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMPASSIONATE HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2017-03-03",
        "status": "A",
        "authorized_official_last_name": "GILLESPIE",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "PRESIDENT/CRNP",
        "authorized_official_telephone_number": "443-597-6042",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R191772",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "R191772",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.