NPIMap

Organization Active NPI

Hope & Grace, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Rex, GA
National Provider Identifier
1548560964
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
031012888 Issued in GA
Legal business name
HOPE & GRACE, LLC
Practice address
5860 Ronnie Dr
Rex, GA 30273-1060
Phone
(770) 477-6417
NPI assigned
Nov 1, 2010
Last updated
Nov 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Authorized official

Name
Ms. Rikiya Ji'Nay Gumbaytay
Title
Owner
Phone
(404) 683-2007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X 031012888 GA Primary

Addresses

Primary practice location

5860 Ronnie Dr
Rex, GA 30273-1060

Mailing address

2045 Mount Zion Rd # 322
Morrow, GA 30260-3313
Phone (770) 477-6417

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288569600000",
    "number": "1548560964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 MOUNT ZION RD # 322",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302603313",
            "telephone_number": "770-477-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5860 RONNIE DR",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731060",
            "telephone_number": "770-477-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE & GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A",
        "authorized_official_last_name": "GUMBAYTAY",
        "authorized_official_first_name": "RIKIYA",
        "authorized_official_middle_name": "JI'NAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-683-2007",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": "031012888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rex, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.