Gracecare Mobile Response LLC

Primary specialty

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

Legal business name

GRACECARE MOBILE RESPONSE LLC

Practice address

3475 W Slauson Ave
Los Angeles, CA 90043-2438

Phone

(310) 617-2620

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Jesse Lucas

Title

Manager

Phone

(310) 617-2620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1679060065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 MARINE AVE APT 10",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432438",
            "telephone_number": "310-617-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACECARE MOBILE RESPONSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-617-2620"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha L. Grace-Reed
• Elizabeth Grace
• Greta Hassel Grace, LMFT
• Lisa Sarah Grace, GNP
• Stephen Grace
• Graceful Senescence
• Gracefull Birthing Inc
• Gracefull Birthing Inc
• Gracelight Community Health
• Gracelight Community Health

• Non-emergency Medical Transport (VAN) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.