Grace Impact Healthcare Services Inc

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

GRACE IMPACT HEALTHCARE SERVICES INC

Practice address

3415 S Sepulveda Blvd
Los Angeles, CA 90034-6060

Phone

(661) 578-2365

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Esther David-Oladoye

Title

Owner/Ceo

Phone

(661) 578-2365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1629765649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 S SEPULVEDA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346060",
            "telephone_number": "661-578-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE IMPACT HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "DAVID-OLADOYE",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "661-578-2365"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.