Grace Home, Inc.

LBN: Grace Home, Inc.
Grace Home, Inc. is an health care organization with primary practice located at 13435 Peach Ave , Livingston CA 95334-9312. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Grace Home, Inc. can be contacted via phone (209) 394-2440, or through Isaac, Robert via phone (209) 394-2440.

Contact Information

Primary practice address
13435 Peach Ave Livingston CA 95334-9312
Phone: (209) 394-2440
Fax: (209) 394-8430
Website:
Map and Directions
Authorized official contact:
Name: Isaac, Robert Registered Nurse (RN)
Phone: (209) 394-2440

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 040000171 California

Profile Details

NPI number 1750368387
LBN Legal business name Grace Home, Inc.
DBA Doing business as
Authorized official Isaac, Robert Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2005
Last updated Mar 9th, 2009 - 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 1750368387 NPPES
California MEDICAID ZZR18421F

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