Grace Manor Ret Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8445 Issued in FL

Legal business name

GRACE MANOR RET INC

Doing business as

none

Practice address

321 E Harvard St
Orlando, FL 32804-5526

Phone

(407) 895-8418

Fax

(407) 895-8229

NPI assigned

May 21, 2008

Organization subpart

Yes

Parent organization

NONEAs reported in NPPES

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

Authorized official

Name

Mr. Hafeez R Ali

Title

Administrator

Phone

(407) 895-8418

Specialties & licenses 1

Addresses

Other names 1

• none Doing business as

Tax ID family

Grace Villa Facility LLC2 organizations share this tax ID, including this one

Part of

Grace Villa Facility LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Villa Facility LLC

  • Assisted Living Facility
  • Orlando, FL
  • NPI 1427306844
  NPD tax ID

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1841457488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARVARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045526",
            "telephone_number": "407-895-8418",
            "fax_number": "407-895-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 E HARVARD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328045526",
            "telephone_number": "407-895-8418",
            "fax_number": "407-895-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MANOR RET INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NONE",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "HAFEEZ",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-895-8418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Ramona Grabnickas, N.P.
• Jamie Grabowski, CNM
• Grace & Growth Center
• Grace Dental, P.a.
• Grace Eyecare LLC
• Grace Pharmspa, LLC
• Grace Villa Alf
• Grace Villa Facility LLC
• Melissa Grace, OTR/L
• Taffy Irene Grace, MSN, APRN, CPNP-PC

• Assisted Living Facility in Orlando, FL
• Providers in Orlando, 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 21, 2008; 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.