Good Grace Provider Service

LBN: Good Grace Provider Service
Good Grace Provider Service is an health care organization with primary practice located at 15155 Richmond Ave Apt 833 , Houston TX 77082-1637. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Good Grace Provider Service can be contacted via phone (832) 890-5451, or through Gonzalez, Cynthia Maria via phone (832) 890-5451.

Contact Information

Primary practice address
15155 Richmond Ave Apt 833 Houston TX 77082-1637
Phone: (832) 890-5451
Fax: (832) 210-2210
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Cynthia Maria CMG
Phone: (832) 890-5451

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1417308966
LBN Legal business name Good Grace Provider Service
DBA Doing business as
Authorized official Gonzalez, Cynthia Maria CMG
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2016
Last updated Jun 27th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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