Grace Community Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACE COMMUNITY CARE LLC

Practice address

24238 E Arapahoe PL
Aurora, CO 80016-4138

Phone

(720) 646-6281

NPI assigned

Jul 13, 2019

Organization subpart

No

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

Authorized official

Name

Eden Fantahun

Title

Administrator

Phone

(720) 646-6281

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562976000000",
    "number": "1942852561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24238 E ARAPAHOE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164138",
            "telephone_number": "720-646-6281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24238 E ARAPAHOE PL",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164138",
            "telephone_number": "720-646-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-13",
        "last_updated": "2019-07-13",
        "status": "A",
        "authorized_official_last_name": "FANTAHUN",
        "authorized_official_first_name": "EDEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "720-646-6281"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Graben, CPNP-AC
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• Grace Clinic Laboratory
• Grace Health Clinic
• Grace Health Pharmacy
• Grace Health Pharmacy
• Grace Home Healthcare Services
• Grace Hope Services

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Aurora, CO
• Providers in Aurora, CO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2019; 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.