Grace Home Healthcare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE HOME HEALTHCARE SERVICES LLC

Practice address

4238 Viva Lane
Indianapolis, IN 46239-1911

Phone

(317) 945-0225

Fax

(317) 961-6099

NPI assigned

May 27, 2022

Last updated

Nov 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Kolleh

Title

Manager

Phone

(317) 945-0225

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1437898525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4238 VIVA LANE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46239",
            "telephone_number": "317-629-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4238 VIVA LANE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462391911",
            "telephone_number": "317-945-0225",
            "fax_number": "317-961-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-11-11",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "KOLLEH",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "317-945-0225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Grabow, COTA
• Grace Adult Family Care LLC
• Grace Care Medical LLC
• Grace Divine, LLC (Grace At Home, Primary Care House Calls)
• Grace for You Home Care LLC
• Grace Homecare LLC
• Grace on Wings, Incorporated
• Grace Providers LLC
• Dori L Grace, LCSW
• Sonia Grace, AGACNP-BC

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.