Organization Active NPI

Grace City Outreach

  • Case Management Agency
  • Yakima, WA
National Provider Identifier
1831951409
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GRACE CITY OUTREACH
Practice address
2300 Birch Street
Yakima, WA 98901
Phone
(509) 571-1157
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Mike Kay
Title
Ceo
Phone
(503) 396-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

2300 Birch Street
Yakima, WA 98901

Mailing address

PO Box 9074
Yakima, WA 98909-0074
Phone (503) 571-1157

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1831951409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9074",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989090074",
            "telephone_number": "503-571-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 BIRCH STREET",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "98901",
            "telephone_number": "509-571-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-396-2085"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.