NPIMap

Organization Active NPI

Grace Excellency Care, LLC

  • Home Health Agency
  • Maplewood, NJ
National Provider Identifier
1528447265
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0200100 Issued in NJ
Legal business name
GRACE EXCELLENCY CARE, LLC
Practice address
515 Valley St Ste 17
Maplewood, NJ 07040-1388
Phone
(973) 313-1700
Fax
(973) 313-2300
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Grace Modupe Olagbegi
Title
Executive Director
Phone
(973) 698-5119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0200100 NJ Primary

Addresses

Primary practice location

515 Valley St Ste 17
Maplewood, NJ 07040-1388

Mailing address

515 Valley St Ste 17
Maplewood, NJ 07040-1388
Phone (973) 313-1700

National Provider Directory

National Provider Directory
Tax ID family
Grace Excellency Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

515 Valley St
Ste 17
Maplewood, NJ 07040
Phone (973) 313-1700

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1528447265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 VALLEY ST STE 17",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401388",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 VALLEY ST STE 17",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070401388",
            "telephone_number": "973-313-1700",
            "fax_number": "973-313-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE EXCELLENCY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "OLAGBEGI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "MODUPE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "973-698-5119"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0200100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.