Grace Medical Supply Corp

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GRACE MEDICAL SUPPLY CORP

Practice address

8753 Yates Dr Ste 101
Westminster, CO 80031-3679

Phone

(720) 535-4301

NPI assigned

Dec 4, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Agavnik Apelyan

Title

President

Phone

(720) 535-4301

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1437754520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8753 YATES DR STE 101",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313679",
            "telephone_number": "720-535-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8753 YATES DR STE 101",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313679",
            "telephone_number": "720-535-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "APELYAN",
        "authorized_official_first_name": "AGAVNIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-535-4301",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Gottschalk, P.T.
• Jill M Gould, LPN
• Crystal M Gowdy, LCSW, LAC
• Jessica Gozza
• Grace in Balance PLLC
• Shauna M.D. Grace, MD
• Angela Graf
• Karin B Graff, M.D.
• Clare Julianne Graham, LCSW
• David Grant, C.M.T.

• Customized Equipment (DME) in Westminster, CO
• Providers in Westminster, CO by specialty
• Customized Equipment (DME) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.