Provider Demographics
NPI:1679123087
Name:STRENGTHEN BY GRACE
Entity Type:Organization
Organization Name:STRENGTHEN BY GRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHINORA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYSON JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-310-1234
Mailing Address - Street 1:1852 ENOCH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4314
Mailing Address - Country:US
Mailing Address - Phone:412-310-1234
Mailing Address - Fax:
Practice Address - Street 1:1852 ENOCH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4314
Practice Address - Country:US
Practice Address - Phone:412-310-1234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-17
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty