Gracie'S Hope, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRACIE'S HOPE, INC.

Practice address

14330 Oakhill Park LN
Suite 140
Huntersville, NC 28078-3314

Phone

(704) 875-7189

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Shannon Pridmore

Title

President

Phone

(704) 875-7189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1861820557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN",
            "address_2": "SUITE 140",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783314",
            "telephone_number": "704-875-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14330 OAKHILL PARK LN",
            "address_2": "SUITE 140",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783314",
            "telephone_number": "704-875-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIE'S HOPE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "PRIDMORE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-875-7189"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gorsuch, MD
• Jill Gottlieb, PSY.D.
• Payal Goyal
• Grace 4 Heroes Transportation LLC
• Grace Mobility, Inc.
• Gracious Living Adhcc Corporation
• Kadijah Ragine Grant, LCSW
• Shaundria Grant
• Brandee Grate-Perry, LCSWA
• Angela Pham Graves, PHARMD

• Clinic/Center in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.