Grace Hospice of Indiana, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

11-012733-1 Issued in IN

Legal business name

GRACE HOSPICE OF INDIANA, LLC

Doing business as

HarmonyCares Hospice

Practice address

5838 West Brick Rd
Ste 101
South Bend, IN 46628-8420

Phone

(574) 208-9270

Fax

(855) 618-0518

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Scott Vasey

Title

President - Home Health & Hospice

Phone

(609) 781-1535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• HarmonyCares Hospice Doing business as
• Grace Hospice Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda F. Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Indianapolis, IN
  • NPI 1538135827
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1629367800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD",
            "address_2": "ATTN: CREDENTIALING DEPARTMENT",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844134",
            "telephone_number": "248-824-6000",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 WEST BRICK RD",
            "address_2": "STE 101",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288420",
            "telephone_number": "574-208-9270",
            "fax_number": "855-618-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE OF INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "VASEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT - HOME HEALTH & HOSPICE",
        "authorized_official_telephone_number": "609-781-1535"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IN",
            "license": "11-012733-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201123200A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HarmonyCares Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Goul, D.C.
• Brigette M Goulet, MSOM
• Hari Rasad Gourabathini, M.D
• Katherine Delayne Goze
• Riley Graber, PA
• Mindy Lynne Gradeless, MSW
• Deshannon Grady Jr
• Miriam Amy Grady
• Bob H Graf, O.D.
• Carol V Graham, M.A.CCC-SLP

• Community Based Hospice Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.