GRACE VILLAGE INC (NPI# 1710528377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710528377 |
| Entity Type | Organization |
| Organization Name | GRACE VILLAGE INC |
| Practice Address |
501 River Bend Dr. Granite Falls NC 28630 |
| Mailing Address |
Po Box 1678 Clemmons NC 27012-1678 |
| Practice Telephone | 3369985001 |
| Mailing Telephone | 3369985001 |
| Mailing Fax Number | 3369985470 |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2019-10-04 |
| Authorized Official Name | RODNEY WORLEY (ADMINISTRATOR) |
| Authorized Official Telephone | 3369985001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
501 RIVER BEND DR. |
| City | GRANITE FALLS |
| State | NC |
| Zip Code | 28630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437623626 | Prime Surgical Suites, LLC | Clinic/Center | 180 Riverbend Dr, Granite Falls, NC 28630 | 2019-01-22 |
| 1477943785 | Sarah Thompson | Pharmacist | 2630 Connelly Springs Road, Granite Falls, NC 28630 | 2015-01-26 |
| 1235577602 | Lesley Macinnes | Pediatrics | 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 | 2013-06-07 |
| 1538426648 | Cynthia Ann Hack | Physical Therapy Assistant | 100 Sunset St., Granite Falls, NC 28630 | 2012-04-13 |
| 1730330267 | Richelle C Miller | Nurse Practitioner | 160 River Bend Drive, Suite A, Granite Falls, NC 28630 | 2008-10-02 |
| 1043350804 | Community Pharmacy of Granite Falls, LLC | Pharmacy | 21 Falls Ave, Granite Falls, NC 28630 | 2007-02-08 |
| 1083706816 | David Lee Masters | Pediatrics | 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 | 2006-09-29 |
| 1790720829 | Sally Rae Soucy | Advanced Practice Midwife | 4355 Hickory Blvd Ste 1, Granite Falls, NC 28630 | 2006-06-20 |
| 1184603896 | Kirsten Kerr | Legal Medicine | One Trade Street, Granite Falls, NC 28630 | 2006-01-11 |
| 1174177620 | Sondra Nicole Henderson | Speech-Language Pathologist | 4012 Hickory Blvd, Granite Falls, NC 28630 | 2019-08-01 |
| Find all providers in zip 28630 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| 1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
| Find all providers with the same taxonomy | ||||
| City | GRANITE FALLS |
| Zip Code | 28630 |
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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.