Active NPI
Evelyn S Grace
- Nursing Care Agency
- Toledo, OH
National Provider Identifier
1689288631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- 171430
- Practice address
- 4428 N Lockwood Ave
Toledo, OH 43612-2353 - Phone
- (419) 481-2334
- NPI assigned
- Sep 6, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | 171430 | OH | Primary |
Addresses
Primary practice location
4428 N Lockwood Ave
Toledo, OH 43612-2353
Mailing address
4428 N Lockwood Ave
Toledo, OH 43612-2353
Phone (419) 481-2334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171430 | OH | MD | Nursing Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599350400000",
"number": "1689288631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4428 N LOCKWOOD AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436122353",
"telephone_number": "419-481-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4428 N LOCKWOOD AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436122353",
"telephone_number": "419-481-2334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACE",
"first_name": "EVELYN",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-06",
"last_updated": "2020-09-06",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "OH",
"license": "171430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.