Grace Home Assisted Living 2

LBN: Grace Home Assisted Living 1
Grace Home Assisted Living 2 is an health care organization with primary practice located at 2301 S Quail Hollow Dr , Tucson AZ 85710-7986. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Attendant Care Provider. Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities is the primary health care specialty. Grace Home Assisted Living 1 can be contacted via phone (520) 312-0225, or through Braga, Norma via phone (520) 312-0225.

Contact Information

Primary practice address
2301 S Quail Hollow Dr Tucson AZ 85710-7986
Phone: (520) 312-0225
Fax: (520) 207-2223
Website:
Map and Directions
Authorized official contact:
Name: Braga, Norma
Phone: (520) 312-0225

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X AL6571H Arizona
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X AL6571H Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X AL6571-H Arizona
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X AL7454H Arizona
Nursing Service Related Providers / Attendant Care Provider 3747A0650X AL7454-H Arizona

Profile Details

NPI number 1760916407
LBN Legal business name Grace Home Assisted Living 1
DBA Doing business as Grace Home Assisted Living 2
Authorized official Braga, Norma
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2017
Last updated Apr 19th, 2017 - about 9 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 1760916407 NPPES
California Other 95188554F13239 MEDICAID
California Other 0301305850 MEDICAID
California Other 85808889 MEDICAID
California Other 00416712603 MEDICAID
California Other 783517401 MEDICAID

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