Our Grace LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

OUR GRACE LLC

Practice address

11940 Bricksome Ave Ste D
Baton Rouge, LA 70816-2594

Phone

(225) 505-1607

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laceisha King

Title

Owner

Phone

(225) 505-1607

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Tax ID family

Our Grace LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Our Grace LLC

  • In Home Supportive Care Agency
  • Baton Rouge, LA
  • NPI 1275177792
  NPD tax ID
• Our Grace LLC

  • In Home Supportive Care Agency
  • Baton Rouge, LA
  • NPI 1679117543
  NPD tax ID

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1588208458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-505-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11940 BRICKSOME AVE STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162594",
            "telephone_number": "225-505-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LACEISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-505-1607"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008460",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ourgracellc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11940 Bricksome Ave Ste D",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708162594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Larry M. Oubre Jr., DDS
• Mia Portier Oubre, FNP
• Sandra Quinn Oubre
• Darren James Oufnac, P.D.
• Our Grace LLC
• Our Grace LLC
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• Our Lady of the Lake Advanced Health Solutions
• Our Lady of the Lake Hospital (Midcity Pharmacy)
• Our Lady of the Lake Hospital Inc (Child Asessment Center)

• In Home Supportive Care Agency in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• In Home Supportive Care Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.