Graces Community Healthcare INC
Clinic/Center, Community Health in Charlotte, NC. Organization (NPI-2).
NPI number1497399802
StatusActive
Last updated in NPPESOct 30, 2019
Details
- NPI
- 1497399802
- Entity type
- Organization (NPI-2)
- Legal business name
- Graces Community Healthcare INC
- Organization subpart
- No
- Enumeration date
- Oct 30, 2019
- Last updated
- Oct 30, 2019
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 |
|---|---|---|---|---|
| 261QC1500X | Clinic/Center, Community Health | – | – | Yes |
Practice location
2905 Freedom DrCharlotte, NC 28208-3857
Phone 704-394-3033
Mailing address
2905 Freedom DrCharlotte, NC 28208-3857
Phone 704-394-3033
Authorized official
Ndofunsu Badika
President
7043943033
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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