SOUTHERN GRACE (NPI# 1225643398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225643398 |
| Entity Type | Organization |
| Organization Name | SOUTHERN GRACE |
| Practice Address |
11066 Birch Hollow Way Peyton CO 80831-5036 |
| Practice Telephone | 7194599457 |
| Mailing Telephone | 7194599457 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | MR. CHRISTOPHER LAMONT BLOUNT (CEO) |
| Authorized Official Telephone | 7194599457 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Southern Grace | 11066 Birch Hollow Way, Peyton, CO 80831 |
| North Carolina Corporations | SOUTHERN GRACE BEAUTY LLC | 1075 N Church St, Mount Olive, NC 28365 |
| Alabama Business Registrations | Southern Grace Boutique LLC | 123 Louisa Street, Warrior, AL 35180 |
| Virginia Business Entities | Southern Grace Boutique LLC | 257 Willis Hollow Road, Castlewood, Virginia 24224 |
| Indiana Business Entities | SOUTHERN GRACE CONCESSION & CATERING LLC | 11685 Riverview Blvd, Osceola, IN 46561 |
| Virginia Business Entities | Southern Grace Construction LLC | 2701 Military Road, Amelia Courthouse, Virginia 23002 |
| Colorado Business Entities | Southern Grace Investments LLC | 5412 E County Road 32 E, Fort Collins, CO 80528 |
| Virginia Business Entities | SOUTHERN GRACE LLC | 5309 S Seminole Trail, Madison, Virginia 22727 |
| North Carolina Corporations | SOUTHERN GRACE REAL ESTATE LLC | 408 Arbor Creek Drive, Holly Springs, NC 27540 |
| Colorado Business Entities | Southern Grace Realty, LTD | 5023 West 120th Avenue, Suite 319, Broomfield, CO 80020 |
| Street Address |
11066 BIRCH HOLLOW WAY |
| City | PEYTON |
| State | CO |
| Zip Code | 80831-5036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578041109 | Nkoyo Ntuen | Licensed Practical Nurse | 12215 Angelina Dr, Peyton, CO 80831 | 2018-08-06 |
| 1336639251 | Just for Grins Vision LLC | Optometrist | 11874 Stapleton Drive, Falcon, CO 80831 | 2018-05-16 |
| 1053840413 | Jacqueline Anne Lloyd | Specialist/Technologist | 12571 Scamper Road, Falcon, CO 80831 | 2017-06-08 |
| 1619224987 | Peak Vista Community Health Centers | Clinic/Center | 12050 Falcon Highway, Peyton, CO 80831 | 2012-08-06 |
| 1275843997 | Kathryn P Pershing | Physical Therapist | 7622 Mclaughlin Road, Falcon, CO 80831 | 2010-10-15 |
| 1366696080 | Leticia Venegas | Physical Therapist | 21 Mdos/sgoy 110 W Ent Av, Attn: 21 Mdos/sgoy, Peterson Afb, CO 80831 | 2008-11-07 |
| 1245459643 | Scott G Miller | Chiropractor | 14755 F East Hwy 24, Falcon, CO 80831 | 2007-04-24 |
| 1144390477 | Falcon Family Eye Care PC | Optometrist | 7685 Mclaughlin Rd, Suite 130, Falcon, CO 80831 | 2006-11-08 |
| 1558459305 | Kimberly Kay Breckon | Optometrist | 7642 Mclaughlin Rd, Falcon, CO 80831 | 2006-10-10 |
| 1174587521 | Phillip Graden Kleinman | Registered Nurse | 8607 Bohleen Rd, Peyton, CO 80831 | 2006-04-13 |
| Find all providers in zip 80831 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649733163 | Gilpin County | Foster Care Agency | 2960 Dory Hill Rd Unit 100, Black Hawk, CO 80422-8771 | 2019-04-11 |
| 1982138392 | A New World Child Placement Agency | Foster Care Agency | 15200 E Girard Ave Ste 3450, Aurora, CO 80014-5002 | 2017-04-13 |
| 1447799424 | Ohana Service Agency, LLC | Foster Care Agency | 9989 W 60th Ave Ste 150, Arvada, CO 80004-4978 | 2017-02-23 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1093175234 | Home Foster Care Corporation | Foster Care Agency | 15204 W 73rd Ave, Arvada, CO 80007-7858 | 2016-03-01 |
| 1972988202 | Attention Inc. | Foster Care Agency | 1443 Spruce St, Boulder, CO 80302-4814 | 2015-07-28 |
| 1487783486 | Pueblo Community Connections | Foster Care Agency | 3913 Sandlewood Ln, Pueblo, CO 81005-2586 | 2007-03-05 |
| 1104973338 | Denver Department of Human Services | Foster Care Agency | 201 W Colfax Ave Dept 1109, Denver, CO 80202 | 2007-01-03 |
| 1063971265 | Denver Department of Human Services | Foster Care Agency | 1200 Federal Blvd, Denver, CO 80204-3221 | 2019-03-18 |
| 1659877272 | Maple Star Colorado | Foster Care Agency | 2250 S Oneida St Ste 200, Denver, CO 80224-2558 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.