Grace Venture Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GRACE VENTURE INC

Practice address

16927-16929 Shinham Rd
Hagerstown, MD 21740-2218

Phone

(240) 850-8046

NPI assigned

Dec 7, 2023

Organization subpart

No

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

Authorized official

Name

Joyce Brown

Title

President

Phone

(240) 850-8046

Specialties & licenses 3

Addresses

Other names 1

• Grace House Doing business as

Tax ID family

Grace Venture Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Venture Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hagerstown, MD
  • NPI 1932071941
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Grace Venture Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Hagerstown, MD
  • NPI 1932071941
  NPPES parent name

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1962279141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3526",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217423526",
            "telephone_number": "240-850-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16927-16929 SHINHAM RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217402218",
            "telephone_number": "240-850-8046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13501 Spriggs Rd",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217422305",
            "country_code": "US",
            "telephone_number": "240-850-8046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACE VENTURE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-850-8046"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace House",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina J. Gordon, M.D.
• Stacey Gordon, R.PH.
• Jessica Gorman, LGPC
• Leeann Gorman, LMSW
• Grace Venture Inc
• Graceway Health Care LLC
• Rebecca Catherine Grach
• Mary Ellen Graham, LCPC
• Aimee Lynn Grahe, LAC
• Adam Grahn, DPM

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.