Grace Care Medical LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GRACE CARE MEDICAL LLC

Practice address

801 Shelby St
Indianapolis, IN 46203-1163

Phone

(463) 999-4054

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Daniel GebresilassieNPI 1992582761

Title

Sole Owner

Phone

(463) 999-4054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Weldetensae Gebresilassie

  • Family Nurse Practitioner
  • Plainfield, IN
  • NPI 1992582761
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1932918554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031163",
            "telephone_number": "463-999-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SHELBY ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462031163",
            "telephone_number": "463-999-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "GEBRESILASSIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "463-999-4054"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline L. Graber, M.D.
• Jonathan Thomas Graber
• Patricia Grabinski, NP
• Danielle Grabow, COTA
• Grace Adult Family Care LLC
• Grace Divine, LLC
• Grace for You Home Care LLC
• Grace Home Healthcare Services LLC
• Grace Homecare LLC
• Grace on Wings, Incorporated

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.