GRACE DIVINE, LLC (NPI# 1548596372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548596372 |
| Entity Type | Organization |
| Organization Name | GRACE DIVINE, LLC |
| Other Organization Name | GRACE AT HOME, PRIMARY CARE HOUSE CALLS |
| Practice Address |
5256 E 65th St Indianapolis IN 46220-4819 |
| Mailing Address |
Po Box 503108 Indianapolis IN 46250-8108 |
| Practice Telephone | 3174290120 |
| Practice Fax Number | 3178007730 |
| Mailing Telephone | 3174290120 |
| Mailing Fax Number | 3178007730 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | TAMMY M CRACE BROWNING (PRESIDENT) |
| Authorized Official Telephone | 3174290120 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
38836 | KY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Grace At Home, Primary Care House Calls | Doing Business As Name - Organization |
| Street Address |
5256 E 65TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46220-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215908538 | Tammy Michelle Crace Browning | Physician Assistant | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2006-01-27 |
| 1629536297 | Jacqueline Sue Muncy | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2019-03-03 |
| 1295200574 | Meredith Susanne Kelly | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-10-12 |
| 1518449297 | Victoria Crawford | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-08-30 |
| 1326539966 | Wendy Shokes | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2018-05-18 |
| 1124556493 | Teresa Ann Mcgrath | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2017-05-31 |
| 1255878278 | Emily Tedrow | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2017-01-28 |
| 1881820249 | Olivia Helitha Cronin | Family Medicine | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-05-29 |
| 1124252903 | Erin Michelle Garrett | Nurse Practitioner | 5256 E 65th St, Indianapolis, IN 46220-4819 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255168 | Know The Drill, LLC | Dentist | 6284 Rucker Road, Suite G, Indianapolis, IN 46220 | 2020-01-29 |
| 1902361017 | Stephanie Jean Tellus | Physical Therapist | 5620 Carvel Ave, Indianapolis, IN 46220 | 2019-02-02 |
| 1861972879 | Ashley M Pondexter | Counselor | 820 E 64th St, Indianapolis, IN 46220 | 2018-08-19 |
| 1649766403 | Amy Yonan | Social Worker | 3830 Rue Delacroix, Indianapolis, IN 46220 | 2018-07-05 |
| 1295226066 | Royal Comfort Home Care | In Home Supportive Care | 2804 55th Pl Ste K, Indianapolis, IN 46220 | 2018-05-28 |
| 1104322148 | Jessica Lynn Neidlinger | Counselor | 819 E 64th St Ste 220, Indianapolis, IN 46220 | 2018-03-30 |
| 1497273494 | Squareone Wellness | Nurse Practitioner | 5422 N Keystone Ave, Indianapolis, IN 46220 | 2017-08-30 |
| 1356866834 | Andrea Elaine Tennancour | Nurse Practitioner | My Mobile Md LLC, 7007 Graham Road Suite 215, Indianapolis, IN 46220 | 2017-08-07 |
| 1346762283 | Nicole Shields | Specialist/Technologist | 6020 Carvel Ave, 1234 Unit, Indianapolis, IN 46220 | 2017-07-12 |
| 1972033389 | Laurie Budlong-morse | Marriage & Family Therapist | 815 E 63rd Pl Ste 204, Indianapolis, IN 46220 | 2017-06-18 |
| Find all providers in zip 46220 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751312 | Indystathealthedu, LLC | Family Medicine | 5699 E 71st St Ste 1a, Indianapolis, IN 46220-3987 | 2020-08-20 |
| 1275802993 | Certified Physician Solutions | Family Medicine | 541 N Park Ave, Indianapolis, IN 46202-3513 | 2011-12-27 |
| 1336377670 | Nikki L O'rourke | Family Medicine | 1919 E 52nd St Ste 200, Indianapolis, IN 46205-1381 | 2009-06-25 |
| 1780777177 | Lula G. Porter | Family Medicine | 4666 Radnor Road, Indianapolis, IN 46226-2154 | 2006-09-30 |
| 1588122162 | Physician Solutions | Family Medicine | 429 E Vermont St Ste 110, Indianapolis, IN 46202-3685 | 2019-03-04 |
| 1689053290 | Erin Ray | Family Medicine | 5908 E Stop 11 Rd, Indianapolis, IN 46237-8683 | 2015-05-28 |
| 1649417262 | Community Hospitals of Indiana Inc | Family Medicine | 10122 E 10th Street, Suite 220, Indianapolis, IN 46229-2664 | 2009-01-20 |
| 1811932528 | Robert F. Lebow Md. LLC | Family Medicine | 907 E Michigan St, Indianapolis, IN 46202-3625 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550445 | Indiana University Health Fort Wayne Physicians, LLC | Family Medicine | 7230 Engle Rd Ste 100, Fort Wayne, IN 46804-2234 | 2020-08-28 |
| 1356864219 | Mobile Primary Care, LLC | Family Medicine | 14074 Trade Center Dr Ste 213, Fishers, IN 46038-4592 | 2017-07-24 |
| 1962822106 | Patient Care Services Team | Family Medicine | 939 Conner St Ste 200, Noblesville, IN 46060-2622 | 2014-04-25 |
| 1396002408 | Indiana Home Care Physicians Inc | Family Medicine | 7895 Broadway Ste V, Merrillville, IN 46410-5529 | 2012-04-13 |
| 1932304417 | George W Merkle Md PC | Family Medicine | 360 N Main St Ste A, Bluffton, IN 46714-2041 | 2007-06-15 |
| 1891871026 | Mohammad A Rahmany | Family Medicine | 2914 Highway Ave, Highland, IN 46322-1656 | 2006-10-31 |
| 1194775569 | Bruce Everette Burton | Family Medicine | 1263 Hospital Drive Nw, Suite 240, Corydon, IN 47112-2172 | 2006-05-10 |
| 1003887498 | Harry Stoller | Family Medicine | 18444 Madison Rd, South Bend, IN 46614-9799 | 2006-02-01 |
| 1588635650 | Linda S Morse | Family Medicine | 105 Hillcrest Ct, Ossian, IN 46777-9053 | 2006-01-27 |
| 1538160171 | James E Buchanan | Family Medicine | 2653 County Road 60, Auburn, IN 46706-9511 | 2005-08-04 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
Please comment or provide details below to improve the information on GRACE DIVINE, LLC.
| 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.