Provider Demographics
NPI:1306491139
Name:GRATEFUL CARE INC
Entity type:Organization
Organization Name:GRATEFUL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTRIM
Authorized Official - Middle Name:A
Authorized Official - Last Name:GATES
Authorized Official - Suffix:
Authorized Official - Credentials:STNA
Authorized Official - Phone:614-515-7044
Mailing Address - Street 1:4565 DUNDEE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43227
Mailing Address - Country:US
Mailing Address - Phone:614-515-7044
Mailing Address - Fax:614-604-8314
Practice Address - Street 1:4565 DUNDEE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43227
Practice Address - Country:US
Practice Address - Phone:614-515-7044
Practice Address - Fax:614-604-8314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty