Grace Family Care, PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

N 97 00121 Issued in NC

Legal business name

GRACE FAMILY CARE, PC

Practice address

10616 Metromont Pkwy
Suite 104
Charlotte, NC 28269-7657

Phone

(704) 921-6659

Fax

(704) 921-6698

NPI assigned

Mar 8, 2010

Organization subpart

No

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

Authorized official

Name

Grace C Pamintuan, M.D.

Title

Ceo

Phone

(704) 921-6659

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1457674269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697656",
            "telephone_number": "704-921-6659",
            "fax_number": "704-921-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10616 METROMONT PKWY",
            "address_2": "SUITE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697657",
            "telephone_number": "704-921-6659",
            "fax_number": "704-921-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "PAMINTUAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-921-6659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NC",
            "license": "N 97 00121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891070P",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Graboyes, M.D.
• Grace and Glory LLC
• Grace and Mercy Home Healthcare, LLC
• Grace and Mercy Special Transportation
• Grace Childs Family Services
• Grace Mar Training and Employment Services LLC
• Grace Medical Clinics, PA
• Grace Mercy Mobile Urgent Care Services PLLC
• Grace Pediatric Clinic, P.a.
• Grace to You LLC

• Health Service Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Health Service Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.