Grace of Jordan Home Care LLC

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Legal business name

GRACE OF JORDAN HOME CARE LLC

Practice address

321 N Front St Ste 210
Wilmington, NC 28401-3908

Phone

(910) 540-4250

NPI assigned

Nov 19, 2021

Organization subpart

No

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

Authorized official

Name

Ashley M Hall

Title

Ceo

Phone

(910) 540-4250

Specialties & licenses 2

Addresses

Other names 1

• Grace of Jordan Home Care Doing business as

Locations

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1902563349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 EVENING RD",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284295333",
            "telephone_number": "910-540-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N FRONT ST STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284013908",
            "telephone_number": "910-540-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE OF JORDAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-540-4250"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace of Jordan Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace of Jordan Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Scott Gould, DDS, MS
• Ashley Elizabeth Gousios, MS, RDN, LDN, CNSC
• Alyssa Gowdy, PA-C
• Grant Gowing
• Whitney Laurel Grabarz, LCSWA
• Sarah Elizabeth Grady
• Jason Allen Graf, D.C.
• Laura Lynn Graff, M.A., CCC-SLP
• Barbara Graham, MSW, LCSWA
• Calvin Graham, PHD

• Nurse's Aide in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.