NPIMap

Organization Active NPI

Grace R, LLC

  • Case Management Agency
  • Anchorage, AK
National Provider Identifier
1841520699
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
937341 Issued in AK
Legal business name
GRACE R, LLC
Doing business as
GRACE R
Practice address
1626 Dolina Cir
Anchorage, AK 99508-3509
Phone
(907) 569-5033
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Mrs. Juanita Serena Elliott, CARE COORDINATORNPI 1922130376
Title
Care Coordinator
Phone
(907) 569-5033

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)CodeLicenseStatePrimary
Case Management Agency 251B00000X 937341 AK Primary

Addresses

Primary practice location

1626 Dolina Cir
Anchorage, AK 99508-3509

Mailing address

PO Box 141795
Anchorage, AK 99514-1795
Phone (907) 569-5033

Other names 1

  • GRACE R Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1841520699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141795",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995141795",
            "telephone_number": "907-569-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 DOLINA CIR",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995083509",
            "telephone_number": "907-569-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE R, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "SERENA",
        "authorized_official_title_or_position": "CARE COORDINATOR",
        "authorized_official_telephone_number": "907-569-5033",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CARE COORDINATOR"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "937341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE R",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.