Grateful Hearts Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRATEFUL HEARTS CARE HOME LLC

Doing business as

Grateful Hearts Care Home LLC

Practice address

1213 120TH St S
Tacoma, WA 98444-3801

Phone

(206) 347-6080

Fax

(253) 948-0194

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa LalanganNPI 1154051118

Title

RN/Resident Manager

Phone

(210) 724-2735

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grateful Hearts Care Home LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Marissa Lalangan, RN

  • Registered Nurse
  • Tacoma, WA
  • NPI 1154051118
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1922741818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 120TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443801",
            "telephone_number": "206-347-6080",
            "fax_number": "253-948-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 120TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984443801",
            "telephone_number": "206-347-6080",
            "fax_number": "253-948-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRATEFUL HEARTS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "LALANGAN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "RN/RESIDENT MANAGER",
        "authorized_official_telephone_number": "210-724-2735"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "220389301",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grateful Hearts Care Home LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latasha Grant
• Melissa Ann Grant, MD
• Patrick C. Grant, LD
• Jason Alexander Grassbaugh, MD
• Justin S Grata, LCSW
• Linda Kay Gravano, LMP
• Andrea Gravatt, MD
• Christopher James Graver, PHD, ABPP-CN
• Caitlyn Graves, MSW, LSWA-IC
• David R Graves, LMP

• Adult Care Home Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.