Active NPI
Grace Point LLC
- Community/Behavioral Health Agency
- Wayne, MI
National Provider Identifier
1649642372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GRACE POINT LLC
- Practice address
- 4080 Garfield St
Wayne, MI 48184-1978 - Phone
- (313) 729-5893
- NPI assigned
- Oct 21, 2015
- Last updated
- Oct 21, 2015
- 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
- Ms. Isidore Ibeawuchi
- Title
- Executive Director
- Phone
- (313) 729-5893
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MI | Primary |
Addresses
Primary practice location
4080 Garfield St
Wayne, MI 48184-1978
Mailing address
4080 Garfield St
Wayne, MI 48184-1978
Phone (313) 729-5893
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Behavior Technician
- Wayne, MI
- NPI 1851825368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1445385600000",
"number": "1649642372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4080 GARFIELD ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841978",
"telephone_number": "313-729-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 GARFIELD ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481841978",
"telephone_number": "313-729-5893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE POINT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A",
"authorized_official_last_name": "IBEAWUCHI",
"authorized_official_first_name": "ISIDORE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "313-729-5893",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.