Grace Street Associates

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

RO06002 Issued in VA

Legal business name

GRACE STREET ASSOCIATES

Doing business as

Grace Lodge

Practice address

1503 Grace St
Lynchburg, VA 24504-3211

Phone

(434) 528-0969

Fax

(434) 846-3549

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Carolyn E. Wooten, LNHA

Title

Administrator

Phone

(434) 528-0969

Specialties & licenses 2

Addresses

Other names 1

• Grace Lodge Doing business as

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437247129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 GRACE ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245043211",
            "telephone_number": "434-528-0969",
            "fax_number": "434-846-3549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 GRACE ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245043211",
            "telephone_number": "434-528-0969",
            "fax_number": "434-846-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE STREET ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-528-0969",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "VA",
            "license": "RO06002",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "VA",
            "license": "NH2561",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Lodge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Faith Gould, CSAC
• Bartlett L Gowen, COTA
• Joseph Grabaskas, PT
• Grace a. Newton, M.D., Dermatology, P.C.
• Grace Care LLC
• Andrew James Graham, LPC
• Audrey E. Graham, MD
• Louis B Graham, MD
• Dana Grant
• Taylor Grasser, PA-C

• Assisted Living Facility in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.