Organization Active NPI

Ray of Grace Healthcare Services LLC

  • Community/Behavioral Health Agency
  • Pembroke Pines, FL
National Provider Identifier
1891542759
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RAY OF GRACE HEALTHCARE SERVICES LLC
Doing business as
Ray of Grace Healthcare Services LLC
Practice address
9821 SW 3Rd St
Pembroke Pines, FL 33025-1064
Phone
(786) 208-2229
NPI assigned
Apr 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Mrs. Marva Daniel-Cleophat, APRNNPI 1962010991
Title
Ceo
Phone
(786) 208-2229

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Clinic/Center 261Q00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

9821 SW 3Rd St
Pembroke Pines, FL 33025-1064

Mailing address

9821 SW 3Rd St
Pembroke Pines, FL 33025-1064
Phone (786) 208-2229

Other names 1

  • Ray of Grace Healthcare Services LLC 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1891542759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 SW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251064",
            "telephone_number": "786-208-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 SW 3RD ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330251064",
            "telephone_number": "786-208-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF GRACE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL-CLEOPHAT",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-208-2229",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ray of Grace Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ray of Grace Healthcare Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.