Individual provider Active NPI

Grace Ajah

  • Nurse's Aide
  • Camby, IN
National Provider Identifier
1992577324
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
CNA2200186 Issued in IN
Practice address
9236 Stones Bluff PL
Camby, IN 46113-8247
Phone
(463) 253-8166
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Nurse's Aide 376K00000X CNA2200186 IN Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

9236 Stones Bluff PL
Camby, IN 46113-8247

Mailing address

6562 Sulgrove PL
Indianapolis, IN 46221-4268

Other practice location 1

9174 Bainbridge Dr
Camby, IN 46113-8004
Phone (463) 253-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CNA2200186INMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Healthcare Social Worker CurrentSince Nov 5, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1992577324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6562 SULGROVE PL",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462214268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9236 STONES BLUFF PL",
            "city": "CAMBY",
            "state": "IN",
            "postal_code": "461138247",
            "telephone_number": "463-253-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9174 Bainbridge Dr",
            "address_purpose": "LOCATION",
            "city": "Camby",
            "state": "IN",
            "postal_code": "461138004",
            "country_code": "US",
            "telephone_number": "463-253-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AJAH",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IN",
            "license": "CNA2200186",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camby, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.