Grace Community Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE COMMUNITY CARE LLC

Practice address

712 Marietta PL NW Apt 103
Washington, DC 20011-3004

Phone

(203) 583-9412

Fax

(203) 549-9936

NPI assigned

Jun 3, 2024

Organization subpart

No

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

Authorized official

Name

Patrick Kouassi Nobou

Title

Manager

Phone

(860) 538-8528

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1962243188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 MARIETTA PL NW APT 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113004",
            "telephone_number": "203-583-9412",
            "fax_number": "203-549-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 MARIETTA PL NW APT 103",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200113004",
            "telephone_number": "203-583-9412",
            "fax_number": "203-549-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "NOBOU",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "KOUASSI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "860-538-8528"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monika Goyal, M.D.
• Munish Goyal, MD
• Rachna Manju Goyal, MD
• Sushma Goyal, MD
• Mark Grabowsky, MD
• Grace of God Healthcare Services
• Grace Point Health Services LLC
• Paul L Grace-Neal, LPN
• Aimee Grace, M.D.
• Daniel-Hannah Grace, OTD

• In Home Supportive Care Agency in Washington, DC
• Providers in Washington, DC by specialty
• In Home Supportive Care Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.