La Grace Homes

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LA GRACE HOMES

Practice address

2124 Belmont Rd
Louisville, KY 40218-2104

Phone

(502) 956-4014

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Tchope SimugomwaNPI 1093583965

Title

Coo

Phone

(502) 956-4014

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tchope Simugomwa

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Louisville, KY
  • NPI 1093583965

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1548022817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 BELMONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 BELMONT RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402182104",
            "telephone_number": "502-956-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA GRACE HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "SIMUGOMWA",
        "authorized_official_first_name": "TCHOPE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "502-956-4014"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Kyser
• Heather Elizabeth Kyser, OTR/L
• Samuel Kyser, BCBA
• L. Anthony Sears, D.C., PLLC
• L. Kevin Chapman, Inc.
• La Grange Dialysis LLC
• La Vie En Rose Eye Care Specialists Inc
• La-Tisha L Frazier PLLC
• Crystal Faith Labbato, APRN
• Jennifer K Labedz, PT

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.