Grace Ibrahim

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3443 Addicks Clodine Rd Apt 7108
Houston, TX 77082-3089

Phone

(832) 916-9215

Fax

(346) 229-5954

NPI assigned

Nov 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gracey de Great LLC

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
  • NPI 1861094708
  NPD Authorized official

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1669074753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820196",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772820196",
            "telephone_number": "832-916-9215",
            "fax_number": "346-229-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 ADDICKS CLODINE RD APT 7108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823089",
            "telephone_number": "832-916-9215",
            "fax_number": "346-229-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "graceydegreat@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3443 Addicks Clodine Rd Apt 7108",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770823089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "olaibropop@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3443 Addicks Clodine Rd Apt 7108",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770823089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ibrahim Sylla
• Ahmed Ibrahim, M.D.
• Aisha Ibrahim
• Amal Mohamed Moustafa Ibrahim I, MD
• Danny Ibrahim
• Jamile Ibrahim
• Junaid Ibrahim
• Mary Ibrahim, PHARMD
• Mohamad Ali Ibrahim, MD
• Mohammad Younis Ibrahim, MD

• Non-emergency Medical Transport (VAN) in Houston, TX
• Providers in Houston, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.