Grace Outreach Ministries International, Inc

Primary specialty

Religious Nonmedical Health Care InstitutionTaxonomy code 282J00000X

Legal business name

GRACE OUTREACH MINISTRIES INTERNATIONAL, INC

Doing business as

Grace Outreach Community Center

Practice address

3360 Buena Vista Rd Ste 12
Columbus, GA 31906-4286

Phone

(706) 760-4631

NPI assigned

May 23, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Letisha Yvonne Rice, LPNNPI 1194128132

Title

Director

Phone

(706) 593-8042

Specialties & licenses 1

Addresses

Other names 1

• Grace Outreach Community Center Doing business as

Locations

Practitioners 1

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

• Letisha Yvonne Rice, LPN

  • Licensed Practical Nurse
  • Columbus, GA
  • NPI 1194128132
  NPD Authorized official

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1518524602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 WALKING STICK WAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319077487",
            "telephone_number": "706-593-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 BUENA VISTA RD STE 12",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319064286",
            "telephone_number": "706-760-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OUTREACH MINISTRIES INTERNATIONAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "LETISHA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-593-8042",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Outreach Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Gosper
• William Goss
• Michael Gotell
• Thekla Meli Goudeau, RDH
• Gowyn Inc (Open Gate Pharmacy 1)
• Graceful Personalcare Home, LLC
• Gracious Hands Home Health LLC
• Breniah Graddy
• Ceminthia Jenea Graham, LCSW
• Jane Mills Graham, RPH

• Religious Nonmedical Health Care Institution in Columbus, GA
• Providers in Columbus, GA by specialty
• Religious Nonmedical Health Care Institution in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.