Grace Care Homes Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GRACE CARE HOMES INC.

Practice address

1205 Barnes Ave SE
Salem, OR 97306-1539

Phone

(503) 391-4881

Fax

(888) 234-7134

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Edwin Lemott Jemison

Title

Owner/Provider

Phone

(503) 999-0404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1861233207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5418",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973040418",
            "telephone_number": "503-999-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 BARNES AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061539",
            "telephone_number": "503-391-4881",
            "fax_number": "888-234-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "JEMISON",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "LEMOTT",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "503-999-0404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann M Gould, PA
• Jefferson B Gourley, DDS
• Kevin Todd Govro, LPC
• Holli J Gower, N.D.
• Aiden Grabill
• Grace Counseling Services, LLC
• Graceful Aging Home Care LLC; Dba Nurse Next Door Salem
• Gracie'S Adult Care Home LLC
• Alexandra Graddy
• Matthew Edward Grady, LCSW CADC III

• Mental Illness Community Based Residential Treatment Facility in Salem, OR
• Providers in Salem, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.