Active NPI
House of Grace LLC
- Community/Behavioral Health Agency
- Huntington, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOUSE OF GRACE LLC
- Practice address
- 401 Camden Rd
Huntington, WV 25704-2708 - Phone
- (606) 939-8486
- NPI assigned
- Feb 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rose Onyinyechi Uradu, MD
- Title
- Medical Director
- Phone
- (606) 939-8486
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Medical Specialty Clinic/Center | 261QM2500X |
Addresses
Primary practice location
401 Camden Rd
Huntington, WV 25704-2708
Mailing address
401 Camden Rd
Huntington, WV 25704-2708
Phone (606) 939-8486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2217154 | House of Grace Treatment Center | Certificate of waiver | Mar 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
401 Camden Rd
Huntington, WV 25704
Phone (304) 429-5594
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Ashland, KY
- NPI 1326050634
WV
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551052800000",
"number": "1609333830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 CAMDEN RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257042708",
"telephone_number": "606-939-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CAMDEN RD",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257042708",
"telephone_number": "606-939-8486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF GRACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A",
"authorized_official_last_name": "URADU",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "ONYINYECHI",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "606-939-8486",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.