Grace Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906467 Issued in FL

Legal business name

GRACE ADULT FAMILY CARE HOME

Practice address

1714 52ND Ter SW
Naples, FL 34116-5652

Phone

(239) 248-8167

Fax

(239) 455-7757

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Melanie Davis WeatherspoonNPI 1124463112

Title

Owner/Operator

Phone

(239) 248-8167

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.

• Melanie Davis Weatherspoon

  • Adult Care Home Facility
  • Naples, FL
  • NPI 1124463112
  NPD (past) Authorized official

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1598211682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 52ND TER SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165652",
            "telephone_number": "239-248-8167",
            "fax_number": "239-455-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 52ND TER SW",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341165652",
            "telephone_number": "239-248-8167",
            "fax_number": "239-455-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "WEATHERSPOON",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "239-248-8167"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perry A Gotsis, MD
• Richard Samuel Gould, M.D.
• Lauren M Governale, DMD
• Regina M Gower, L.C.S.W.
• Grant James Grabarczyk
• Alexandra Grace, DO, MPH
• Cassidy Grachus
• Charles W Graeber, MD
• Victoria Grafczynska, LMHC
• Yvonne Emily Graham, LMT,NCTMB

• Adult Care Home Facility in Naples, FL
• Providers in Naples, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.