Grady Management Corp.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL1052 Issued in FL

Legal business name

GRADY MANAGEMENT CORP.

Practice address

2135 40TH Ave N
St Petersburg, FL 33714-4124

Phone

(727) 522-6590

Fax

(727) 528-4580

NPI assigned

May 17, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Michael Thomas Grady

Title

Secretary/Treasurer

Phone

(727) 488-3520

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Farmer's Retirement Home Doing business as

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1750674255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 OAK ST NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337041538",
            "telephone_number": "727-522-6590",
            "fax_number": "727-528-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 40TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337144124",
            "telephone_number": "727-522-6590",
            "fax_number": "727-528-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY MANAGEMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "727-488-3520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142049600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmer's Retirement Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Full Living for Seniors Inc.
• Grace in Home Primary Care, LLC
• Grace Manor Alf LLC
• Grace Street Counseling
• Zamira Maria Gracia Valenzuela, RBT
• Heather Lee Graeme
• Graham Center Inc
• Tracey Graham-Henderson
• Jamie Graham, DO
• Kristal Pearl Graham, CNA

• Assisted Living Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.