NPIMap

Organization Active NPI

Grace Divine, LLC

  • Family Medicine Physician
  • Indianapolis, IN
National Provider Identifier
1548596372
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
38836 Issued in KY
Legal business name
GRACE DIVINE, LLC
Practice address
8900 Keystone Xing Ste 540
Indianapolis, IN 46240-2130
Phone
(317) 429-0120
Fax
(317) 800-7730
NPI assigned
Oct 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Dr. Rodney C Armstead, MDNPI 1912258575
Title
Ceo
Phone
(310) 418-7250

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 38836 KY Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X

Addresses

Primary practice location

8900 Keystone Xing Ste 540
Indianapolis, IN 46240-2130

Mailing address

8900 Keystone Xing Ste 540
Indianapolis, IN 46240-2130
Phone (317) 429-0120

Other identifiers 1

IdentifierTypeStateIssuer
300082847MedicaidIN

Other names 2

  • Grace At Home, Primary Care House Calls Doing business as
  • Grace at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100329000308 IN Part B Supplier - Clinic/Group Practice 2264568377 Receives reassigned benefits from 59 practitioners
Practice locations: Indianapolis, IN

National Provider Directory

National Provider Directory

Locations

350 Massachusetts Ave
Unit 22
Indianapolis, IN 46204

8900 Keystone Xing
Ste 40
Indianapolis, IN 46240

350 Massachusetts Ave
Fl 2
Indianapolis, IN 46204

8900 Keystone Xing
Indianapolis, IN 46240

Practitioners & affiliated clinicians

Practitioners 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1548596372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 KEYSTONE XING STE 540",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402130",
            "telephone_number": "317-429-0120",
            "fax_number": "317-800-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 KEYSTONE XING STE 540",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462402130",
            "telephone_number": "317-429-0120",
            "fax_number": "317-800-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DIVINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-29",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "ARMSTEAD",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-418-7250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "38836",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300082847",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace At Home, Primary Care House Calls",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.