Gracegen Health Center Corp

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACEGEN HEALTH CENTER CORP

Practice address

5405 Folsom Dr
Groveport, OH 43125-9147

Phone

(220) 216-1983

NPI assigned

Jan 1, 2024

Organization subpart

No

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

Authorized official

Name

Amy Fatima Kamara, RN

Title

Owner

Phone

(220) 216-1983

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704067200000",
    "number": "1710756754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 FOLSOM DR",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259147",
            "telephone_number": "220-216-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 FOLSOM DR",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259147",
            "telephone_number": "220-216-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEGEN HEALTH CENTER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2023-12-30",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "220-216-1983",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Dawn Godfrey, OTR/L
• Goldman Consultant & Associates LLC
• Gail Goldman
• Johnathan Ray Gomez, LSW
• Cynthia Goral
• Graceway Transport, LLC
• Briana Janai Greer
• Greg a. Wise, M.D., Inc.
• Wendy A Greiner, NP-C
• Amy Elise Grooms

• Home Health Agency in Groveport, OH
• Providers in Groveport, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.