GRACE DIVINE LLC NPI 1548596372

NPI Information

  • NPI: 1548596372
  • Provider Name: GRACE DIVINE, LLC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Doing Business As: GRACE AT HOME, PRIMARY CARE HOUSE CALLS
  • Address: 907 N EAST ST
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 429-0120

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NPI Details

GRACE DIVINE, LLC is a geriatric medicine family medicine in Indianapolis, IN. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. GRACE DIVINE, LLC NPI is 1548596372. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Grace At Home, Primary Care House Calls.

The provider's business location address is:

907 N EAST ST
INDIANAPOLIS, IN
ZIP 46202-425
Phone: (317) 429-0120
Fax: (317) 800-7730

The provider's authorized official is Rodney C Armstead .
The authorized official title is Ceo and has the following contact phone number (310) 418-7250.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 8/1/2024.

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
1207QG0300XFamily MedicineGeriatric Medicine38836KENTUCKYYes

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: 11/21/2025

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