Active NPI
Developing Grace Foundation LLC
- In Home Supportive Care Agency
- Oregon, OH
National Provider Identifier
1710834908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- DEVELOPING GRACE FOUNDATION LLC
- Practice address
- 2322 Taft Ave
Oregon, OH 43616-3827 - Phone
- (419) 410-4335
- NPI assigned
- Mar 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phenique J Lipkins, RN
- Title
- Owner
- Phone
- (419) 410-4335
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2322 Taft Ave
Oregon, OH 43616-3827
Mailing address
2322 Taft Ave
Oregon, OH 43616-3827
Phone (419) 410-4335
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Oregon, OH
- NPI 1952258204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1710834908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 TAFT AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163827",
"telephone_number": "419-410-4335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 TAFT AVE",
"city": "OREGON",
"state": "OH",
"postal_code": "436163827",
"telephone_number": "419-410-4335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVELOPING GRACE FOUNDATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-16",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "LIPKINS",
"authorized_official_first_name": "PHENIQUE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-410-4335",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Jewel Diamond, CNP
- Tracy Dickerson, CRNA
- David Dixon, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.