Active NPI
Grace Compassionate Health Care
- Home Health Agency
- Ft Washington, MD
National Provider Identifier
1417490277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- R191772
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.