NPIMap

Organization Active NPI

Graced LLC

  • Case Manager/Care Coordinator
  • Hopewell, VA
National Provider Identifier
1821627308
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GRACED LLC
Practice address
1101 Kruper Ave Apt a
Hopewell, VA 23860-6030
Phone
(443) 404-0779
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Alicia Washington, MA
Title
Executive Director
Phone
(443) 404-0779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

1101 Kruper Ave Apt a
Hopewell, VA 23860-6030

Mailing address

1101 Kruper Ave Apt a
Hopewell, VA 23860-6030
Phone (443) 404-0779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1821627308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KRUPER AVE APT A",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238606030",
            "telephone_number": "443-404-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KRUPER AVE APT A",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238606030",
            "telephone_number": "443-404-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-404-0779",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

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

Verify at the official NPI Registry.