Organization Active NPI

Graceland Home Health Care &Supported Living

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1427314905
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
201204700701 Issued in OH
Legal business name
GRACELAND HOME HEALTH CARE &SUPPORTED LIVING
Practice address
1756 Stilton Ave
Columbus, OH 43228-4574
Phone
(614) 772-8700
NPI assigned
Apr 9, 2012
Last updated
Apr 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Rugiatou Jallow
Title
Owner
Phone
(614) 772-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 201204700701 OH Primary

Addresses

Primary practice location

1756 Stilton Ave
Columbus, OH 43228-4574

Mailing address

1756 Stilton Ave
Columbus, OH 43228-4574

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1427314905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 STILTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 STILTON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284574",
            "telephone_number": "614-772-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND HOME HEALTH CARE &SUPPORTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "JALLOW",
        "authorized_official_first_name": "RUGIATOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-772-8700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "201204700701",
            "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 Apr 9, 2012; 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.