GRACESTREAMSCARE NPI 1164267621

NPI Information

  • NPI: 1164267621
  • Provider Name: GRACESTREAMSCARE
  • Classification: Licensed Vocational Nurse - 164X00000X
  • Entity Type: Organization
  • Address: 3707 E SOUTHERN AVE STE 2064
    MESA, AZ
    ZIP 85206
  • Phone: (480) 310-7411

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NPI Details

GRACESTREAMSCARE is a licensed vocational nurse in Mesa, AZ. The provider is a licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. GRACESTREAMSCARE NPI is 1164267621. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3707 E SOUTHERN AVE STE 2064
MESA, AZ
ZIP 85206-218
Phone: (480) 310-7411

The provider's authorized official is Amarachi Grace Onyeforo .
The authorized official title is Administrator and has the following contact phone number (480) 310-7411.

The enumeration date for this NPI number is 6/26/2024 and was last updated on 6/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164X00000XLicensed Vocational NurseYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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