Grace-Garanthe Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

298593 Issued in GA

Legal business name

GRACE-GARANTHE MEDICAL SUPPLY LLC

Practice address

2400 Wisteria Dr
Suite F
Snellville, GA 30078-2689

Phone

(770) 441-9992

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Ranti Hernandez

Title

Authorize Official

Phone

(770) 441-9992

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1497100317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-441-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WISTERIA DR",
            "address_2": "SUITE F",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782689",
            "telephone_number": "770-441-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE-GARANTHE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RANTI",
        "authorized_official_title_or_position": "AUTHORIZE OFFICIAL",
        "authorized_official_telephone_number": "770-441-9992",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "298593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HB",
            "identifier": "298593",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keshara Denise Goode, LCSW
• Zerah Kenya Gorham, MD
• Kerop B Gourdikian
• Grace Hospice Services LLC
• Grace PRN LLC
• Graceful Healing Home Care Inc
• Azaria Quinee Graham, MS
• Jenease Graham, RBT
• Jaire Granderson, RBT
• Donnette Grant, LCSW

• Durable Medical Equipment & Medical Supplies in Snellville, GA
• Providers in Snellville, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.