GRACE CARE MEDICAL LLC NPI 1932918554

NPI Information

  • NPI: 1932918554
  • Provider Name: GRACE CARE MEDICAL LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 801 SHELBY ST
    INDIANAPOLIS, IN
    ZIP 46203
  • Phone: (463) 999-4054

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NPI Details

GRACE CARE MEDICAL LLC is a family nurse practitioner in Indianapolis, IN. GRACE CARE MEDICAL LLC NPI is 1932918554. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

801 SHELBY ST
INDIANAPOLIS, IN
ZIP 46203-163
Phone: (463) 999-4054

The provider's authorized official is Daniel Gebresilassie .
The authorized official title is Sole Owner and has the following contact phone number (463) 999-4054.

The enumeration date for this NPI number is 1/7/2025 and was last updated on 1/7/2025.

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
1363LF0000XNurse PractitionerFamilyYes

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

NPI Synchronization or Removal

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