Gordon'S Grace LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GORDON'S GRACE LLC

Practice address

616 E 92ND St
Los Angeles, CA 90002-1629

Phone

(323) 599-0269

NPI assigned

Dec 19, 2024

Organization subpart

No

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

Authorized official

Name

Melissa B GordonNPI 1730719162

Title

Administrator

Phone

(323) 599-0269

Specialties & licenses 1

Addresses

Other names 1

• GORDON'S GRACE LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa B Gordon

  • Home Health Aide
  • Los Angeles, CA
  • NPI 1730719162
  NPD Authorized official

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1467260877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2202",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911022202",
            "telephone_number": "323-599-0269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 E 92ND ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900021629",
            "telephone_number": "323-599-0269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON'S GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-599-0269"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GORDON'S GRACE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Robert Gordon, FNP-C
• Robert John Gordon, MA
• Sandy Sarah Gordon
• Serenity Gordon
• Valerie Gordon, MSW
• Gordons Grace II Co.
• Whitney Jade Gordy
• Joyti Gore
• Lana Gore, PHARM.D.
• Paul Gore, PHD

• Home Health Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.