Grace Community Center

LBN: Grace Community Center
Grace Community Center is an health care organization with primary practice located at 484 E San Fernando St , San Jose CA 95112-3513. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Grace Community Center can be contacted via phone (408) 293-0422, or through Blevins, Lisa Ann via phone (408) 293-0422.

Contact Information

Primary practice address
484 E San Fernando St San Jose CA 95112-3513
Phone: (408) 293-0422
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blevins, Lisa Ann PH.D.
Phone: (408) 293-0422

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1871758896
LBN Legal business name Grace Community Center
DBA Doing business as
Authorized official Blevins, Lisa Ann PH.D.
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 21st, 2008
Last updated Jul 21st, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871758896 NPPES
California Other 42502 PARCCA

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