The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1235750753 |
NPI Entity Type | Organization |
Provider Name | House Of G.r.a.c.e.residential Services, Llc |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Certification Date | September 30, 2009 |
Provider Location Address | 116 Cleveland Ave Nw Ste 555, Suite 555, Canton, OH, US |
Provider Mailing Address | 116 Cleveland Ave Nw, Suite 555, Canton, OH, US, 447021779 |
Gender | Male |
Is Sole Proprietor? | No |
Official Name | PHD , LISW-S Audra Martin |
Official Position | CEO |
Phone | 330-915-8347 |
Taxonomy Code | |
Taxonomy Name | Home Health Agency |
Classification | |
Group | |
Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
7610455 | OH | OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES | 01 |
0215619 | OH | MEDICAID | 05 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
DR. DDS Magdalena Jaramillo Ruck Individual |
5350 Socialville Foster Rd |
||
Mario Jones Individual |
5844 E Glenn Dr |
||
DR. PSY.D. Joshua William Shuman Individual |
319 Patton Dr |
||
LSW Megan Amber Vance Individual |
4061 Bradley Cir Nw |
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MRS. MSN/FAMILY NURSE PRA Kristy Nicole Perusko Individual |
6559 Wilson Mills Road 106a |
||
LPC Angela Hatfield Individual |
547 Spinning Rd |
||
LISW Anna Teske Individual |
9 Kenny Dr |
||
DR. D.C. Nabeel M Bourawi Individual |
3450 W Central Ave Ste 136 |
||
New Albany Home Health Solutions, Llc. Organization |
8072 New Albany Condit Rd |
||
Amanda S Wilson Individual |
12108 Auburn Ct |
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Nathan Garrett Individual |
1034 Harrisburg Pike |
||
Safe Drive Transportation, Llc Organization |
1745 Amberwood Way |
||
Marva Louise Duvall Individual |
5050 Madison Rd |
||
PHD, LPC Mohamed O Khalif Individual |
1490 E Main St |
||
DR. M.D. Robert F Arrom Individual |
6681 Southampton Ln |
||
CNP Lara Wynne Individual |
935 E Snyder Ave |
||
Jason Fink Individual |
5875 Chantry Dr |
||
NP Heidi Zuber Individual |
442 W High St Ste 3 |
||
CEO Geni Gabayre Individual |
3303 Sullivant Ave |
||
Melinda Zajaczkowski Individual |
76 Wayne Ln |
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