Active NPI
Graces Supportive Living Services, LLC
- Home Health Agency
- Atlanta, GA
National Provider Identifier
1871044438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRACES SUPPORTIVE LIVING SERVICES, LLC
- Practice address
- 3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339 - Phone
- (770) 984-5388
- NPI assigned
- Oct 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keisha Denise Dowdell
- Title
- Owner
- Phone
- (770) 984-5388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | GA | Primary |
Addresses
Primary practice location
3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339
Mailing address
3350 Riverwood Pkwy SE Ste 1900
Atlanta, GA 30339-3372
Phone (770) 984-5388
National Provider Directory
National Provider Directory- Tax ID family
- Grace Supportive Living Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Atlanta, GA
- NPI 1215395900
Locations
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1871044438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 RIVERWOOD PKWY SE STE 1900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393372",
"telephone_number": "770-984-5388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 RIVERWOOD PKWY SE STE 1900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30339",
"telephone_number": "770-984-5388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACES SUPPORTIVE LIVING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "DOWDELL",
"authorized_official_first_name": "KEISHA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-984-5388"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.