GRACE RESIDENTIAL SERVICES, LLC – NPI #1033675897
Clinic/Center

An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Health Care Provider Taxonomy Code for Clinic/Center

GRACE RESIDENTIAL SERVICES, LLC is an AHC clinic located in OWINGS MILLS, MD. NPPES has assigned the NPI number 1033675897 to GRACE RESIDENTIAL SERVICES, LLC on February 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE RESIDENTIAL SERVICES, LLC below.

NPI Profile for
GRACE RESIDENTIAL SERVICES, LLC

NPI Number
1033675897
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACE RESIDENTIAL SERVICES, LLC
Primary location
4117 BROOKSIDE OAKS ROAD
OWINGS MILLS, MD 21117
Phone: (443) 677-7130 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OMOLARA ADEOLA
CEO
Phone: (443) 677-7130
Updated
Identifiers

Identifiers for GRACE RESIDENTIAL SERVICES, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD122456
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.