Grace Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

368030 Issued in MN

Legal business name

GRACE HOME HEALTH CARE

Practice address

1520 E 66TH St Ste 1
Richfield, MN 55423-2675

Phone

(612) 354-3823

NPI assigned

Jan 22, 2015

Last updated

Apr 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Hamdi Sade Afyare, N/N

Title

Director

Phone

(612) 354-3823

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1421884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1669861084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 E 66TH ST STE 1",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232675",
            "telephone_number": "612-354-3823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E 66TH ST STE 1",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232675",
            "telephone_number": "612-354-3823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "AFYARE",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "SADE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-354-3823",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/N"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "368030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP UMPI",
            "identifier": "A897667200",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP WAIVER UMP #",
            "identifier": "A799122200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy Marvin Gregory, LADC, LPCC, CAMS-II

• Home Health Agency in Richfield, MN
• Providers in Richfield, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.

Verify at the official NPI Registry.