Grace and Glory Adhc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

2684 Issued in LA

Legal business name

GRACE AND GLORY ADHC

Practice address

2127 Beaumont Dr
Baton Rouge, LA 70806-1436

Phone

(225) 926-4241

Fax

(225) 926-7223

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jenniifer Leanette Carlin

Title

Administrator

Phone

(225) 926-4241

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528288156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061436",
            "telephone_number": "225-926-4241",
            "fax_number": "225-926-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 BEAUMONT DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708061436",
            "telephone_number": "225-926-4241",
            "fax_number": "225-926-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND GLORY ADHC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "JENNIIFER",
        "authorized_official_middle_name": "LEANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-926-4241",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "LA",
            "license": "2684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT DAY HEALTH CARE",
            "identifier": "1438651",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Gabriel Gouri, M.D.
• Rebecca Harrell Gouvier, M. A.
• Janice Govan
• Tijah Governor
• Dana Goza, PT
• Grace Care LLC
• Grace Family Medical Center
• Grace for Grace Personal Care Services
• Grace Healthcare Incorporated (AeroCare)
• Grace House of Baton Rouge, Inc. (Grace Community Living Adult Day Program)

• Adult Day Care Clinic/Center in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.