Organization 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
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.