Active NPI
National Fellowship Brethren Retirement Homes, Inc.
Doing business as Grace Village Retirement Community
- Voluntary or Charitable Agency
- Winona Lake, IN
National Provider Identifier
1962616292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- Legal business name
- NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES, INC.
- Doing business as
- Grace Village Retirement Community
- Practice address
- 337 Grace Village Dr
Winona Lake, IN 46590-5774 - Phone
- (574) 372-6498
- Fax
- (574) 372-6386
- NPI assigned
- May 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sondrea Dee Hamilton
- Title
- Cfo
- Phone
- (574) 372-6498
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Primary |
Addresses
Primary practice location
337 Grace Village Dr
Winona Lake, IN 46590-5774
Mailing address
337 Grace Village Dr
Winona Lake, IN 46590-5774
Phone (574) 372-6498
Other names 1
- Grace Village Retirement Community
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1962616292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 GRACE VILLAGE DR",
"city": "WINONA LAKE",
"state": "IN",
"postal_code": "465905774",
"telephone_number": "574-372-6498",
"fax_number": "574-372-6386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 GRACE VILLAGE DR",
"city": "WINONA LAKE",
"state": "IN",
"postal_code": "465905774",
"telephone_number": "574-372-6498",
"fax_number": "574-372-6386"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL FELLOWSHIP BRETHREN RETIREMENT HOMES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "SONDREA",
"authorized_official_middle_name": "DEE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "574-372-6498",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grace Village Retirement Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Winona Lake, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.