Organization Active NPI

Gracious Care Recovery Solutions Inc

  • Substance Abuse Rehabilitation Facility
  • Brunswick, GA
National Provider Identifier
1619575511
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
GRACIOUS CARE RECOVERY SOLUTIONS INC
Practice address
3212 Shrine Rd
Brunswick, GA 31520-4353
Phone
(954) 422-1949
Fax
(954) 422-1950
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Mrs. Marisa Luisa Way
Title
Owner
Phone
(954) 422-1949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3212 Shrine Rd
Brunswick, GA 31520-4353

Mailing address

3212 Shrine Rd
Brunswick, GA 31520-4353
Phone (954) 422-1949

National Provider Directory

National Provider Directory
Tax ID family
Gracious Care Recovery Solutions Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1619575511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "954-422-1949",
            "fax_number": "954-422-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SHRINE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204353",
            "telephone_number": "954-422-1949",
            "fax_number": "954-422-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE RECOVERY SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "WAY",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-422-1949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.