Aw Grace LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

AW GRACE LLC

Practice address

779 Route 211 E Ste 8
Middletown, NY 10941-1460

Phone

(845) 673-1115

NPI assigned

Nov 4, 2020

Organization subpart

No

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

Authorized official

Name

Ann Marie Deer

Title

Ceo

Phone

(845) 673-1115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1821699091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 ROUTE 211 E STE 8",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411460",
            "telephone_number": "845-673-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 ROUTE 211 E STE 8",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109411460",
            "telephone_number": "845-673-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AW GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-06-21",
        "certification_date": "2022-05-02",
        "status": "A",
        "authorized_official_last_name": "DEER",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-673-1115"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Middletown, NY
• Providers in Middletown, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.