Restore Grace Support

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

RESTORE GRACE SUPPORT

Practice address

3886 Green Point Dr
Greensboro, NC 27407-4506

Phone

(336) 897-5972

NPI assigned

Aug 20, 2025

Last updated

Aug 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynly Gates

Title

Program Director

Phone

(904) 547-0911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1982581849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 GREEN POINT DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 GREEN POINT DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074506",
            "telephone_number": "336-897-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE GRACE SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-20",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "LYNLY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "904-547-0911"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.