Yolanda Nadine Gray

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

L000000030002 Issued in TN

Practice address

2417 Gardner LN
Nashville, TN 37207-4201

Phone

(615) 424-8758

Fax

(615) 649-8287

NPI assigned

May 17, 2022

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Yolanda's Care Home

  dba supportive care group home

  • Assisted Living Facility (Mental Illness)
  • Nashville, TN
  • NPI 1104584002

  Assisted Living, Mental Illness

  NPD Authorized official
• Yolanda's Care Home

  • Assisted Living Facility
  • Nashville, TN
  • NPI 1720741614
  NPD Authorized official

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

{
    "created_epoch": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1912644469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78820",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372078820",
            "telephone_number": "615-424-8758",
            "fax_number": "615-649-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 GARDNER LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372074201",
            "telephone_number": "615-424-8758",
            "fax_number": "615-649-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "YOLANDA",
        "middle_name": "NADINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TN",
            "license": "L000000030002",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland William Gray Jr., MD
• Scott D Gray, MD
• Susan Spickard Gray, ANP
• Sydney Gray, MS, ATC, LAT
• Tiffani N Gray, NP
• Sarah Jane Grayce, M.D.
• Eddie Grayson, FNP-C
• Gena Lynn Grayson, RN
• Great Care Health Services LLC
• Great Care Health Services, LLC

• Assisted Living Facility (Mental Illness) in Nashville, TN
• Providers in Nashville, TN by specialty
• Assisted Living Facility (Mental Illness) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.