Grandmary'S House

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

License

59062583 Issued in MI

Legal business name

GRANDMARY'S HOUSE

Practice address

4828 Evanston Rd
Jacksonville, FL 32208

Phone

(904) 768-8350

NPI assigned

Dec 24, 2009

Organization subpart

No

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

Authorized official

Name

Prof. Mary A Robinson

Title

Administrator

Phone

(904) 768-8350

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261612800000",
    "number": "1578892485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 EVANSTON RD",
            "address_2": "JACKSONVILLE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 EVANSTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32208",
            "telephone_number": "904-768-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMARY'S HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-768-8350",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "MI",
            "license": "59062583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gramz Ultimate Care, LLC
• Dara Granados, LMT
• Lloyd E Granat, MD
• Grande Counseling & Consulting, LLC
• Carol V Grande, LMHC,ICADC,CAP,CEAP
• Christine A.J. Granfield, MD
• Emily Spuhler Grange, DNP, AG-ACNP
• Andre Kurt Granger, MD
• Brian J Granger, D.O.
• Fallon Chanel Granger, NURSE PRACTITIONER

• Federally Qualified Health Center (FQHC) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Federally Qualified Health Center (FQHC) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.