Venetrea Lawanda Grant

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

License

170140631 Issued in IN

Practice address

9165 Otis Ave Ste 222
Indianapolis, IN 46216-2316

Phone

(317) 331-7068

Fax

(317) 723-3772

NPI assigned

Jan 31, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1710485073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162316",
            "telephone_number": "317-331-7068",
            "fax_number": "317-723-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 222",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162316",
            "telephone_number": "317-331-7068",
            "fax_number": "317-723-3772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "VENETREA",
        "middle_name": "LAWANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "IN",
            "license": "170140631",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "IN",
            "license": "170140631",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300009906",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "813743408",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Min Qiao Grant, MD
• Sara Grant, MD
• Sarah Grant
• Sierra Grant
• Susan Grant
• Carrie Grass
• Jeffrey Alan Grasser, DDS
• Graston Institute, LLC
• Grateful Hearts Home Care
• Gratitude Home Health Solutions LLC

• Attendant Care Provider in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Attendant Care Provider in Indiana

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