DEI GRACIA HEALTHCARE LLC
NPI 1235018987
Clinic/Center - Multi-Specialty in Urbana, IL

Active since August 28, 2025CLIA 14D2330043 · Waiver
909 N CUNNINGHAM AVE, URBANA, IL 61802(217) 607-8110 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dei Gracia Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEI GRACIA HEALTHCARE LLC (NPI 1235018987) is a healthcare organization registered as a multi-specialty in Urbana, Illinois and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Nathalie Rosine Kori Nkenlifack Manhenkeu, Manager, as its authorized official.

NPPES Registry Identity

NPI1235018987
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameDEI GRACIA HEALTHCARE LLC
Location Address909 N CUNNINGHAM AVEUrbana, IL 61802-1744
Mailing Address1409 Ogelthorpe AveUrbana, IL 61802-4749 · (217) 819-7328
Organization SubpartNo
Authorized OfficialNathalie Rosine Kori Nkenlifack ManhenkeuManager · (217) 819-7328
Enumeration DateAugust 28, 2025
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1235018987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
909 N CUNNINGHAM AVE, Urbana, IL 61802

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dei Gracia Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dei Gracia Healthcare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1609543248
1409 OGELTHORPE AVE
Urbana, IL 61802
(217) 819-7328
✔ PECOS✔ Accepts Medicare2.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2330043

Dei Garcia Healthcare, PLLC · Urbana, IL
Active · expires Sep 8, 2027
CLIA Number14D2330043
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorNathalie Rosine Kori Nkenlifack Manhenkeu
Laboratory Phone(217) 819-7328
Laboratory LocationDei Garcia Healthcare, PLLC909 N Cunningham Ave, Urbana, IL 61802
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dei Gracia Healthcare LLC's NPI number?

The NPI number for Dei Gracia Healthcare LLC is 1235018987. It was assigned to this organization in the NPPES registry on August 28, 2025.

Where is Dei Gracia Healthcare LLC located?

Dei Gracia Healthcare LLC is located at 909 N Cunningham Ave, Urbana, IL 61802. The listed phone number is (217) 607-8110.

What is Dei Gracia Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Dei Gracia Healthcare LLC enrolled in Medicare?

Yes. Dei Gracia Healthcare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dei Gracia Healthcare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Dei Gracia Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dei Gracia Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2330043) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dei Gracia Healthcare LLC was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.