Active NPI
Grandmalove LLC
- Nurse's Aide
- Cincinnati, OH
National Provider Identifier
1821837642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Legal business name
- GRANDMALOVE LLC
- Practice address
- 2986 High Forest LN Apt 119
Cincinnati, OH 45223-1335 - Phone
- (513) 978-8760
- NPI assigned
- May 21, 2024
- 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
- Mrs. Shawnda Ann Wilson-Pryor, STNA
- Title
- Owner
- Phone
- (513) 978-8760
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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | Primary |
Addresses
Primary practice location
2986 High Forest LN Apt 119
Cincinnati, OH 45223-1335
Mailing address
2986 High Forest LN
119
Cincinnati, OH 45223-1335
Phone (513) 978-8760
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716249600000",
"number": "1821837642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2986 HIGH FOREST LN",
"address_2": "119",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452231335",
"telephone_number": "513-978-8760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2986 HIGH FOREST LN APT 119",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452231335",
"telephone_number": "513-978-8760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANDMALOVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A",
"authorized_official_last_name": "WILSON-PRYOR",
"authorized_official_first_name": "SHAWNDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "513-978-8760",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "STNA"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.