Grace Street Associates
Assisted Living Facility in Lynchburg, VA. Organization (NPI-2).
Details
- NPI
- 1437247129
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace Street Associates
- Organization subpart
- No
- Enumeration date
- Oct 10, 2006
- Last updated
- Sep 11, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | RO06002 | VA | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH2561 | VA |
Other names
- Grace Lodge (Doing Business As)
Practice location
1503 Grace StLynchburg, VA 24504-3211
Phone 434-528-0969 · Fax 434-846-3549
Mailing address
1503 Grace StLynchburg, VA 24504-3211
Phone 434-528-0969 · Fax 434-846-3549
Authorized official
Carolyn E. Wooten
Administrator
4345280969
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Assisted Living Facility providers in Lynchburg · All 4,141 providers in Lynchburg
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