Grace Personal Care Service, Inc
LBN: Grace Personal Care Service, Inc
Grace Personal Care Service, Inc is an health care organization with primary practice located at 1613 South 2Nd Street , Gallup NM 57301-5816. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is the primary health care specialty.
Grace Personal Care Service, Inc can be contacted via phone (505) 863-5898, or through Crider, Tom via phone (505) 863-5898.
Contact Information
Primary practice address
1613 South 2Nd Street
Gallup NM 57301-5816
Phone: (505) 863-5898
Fax: (505) 896-4513
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X |
Profile Details
| NPI number | 1164638565 |
|---|---|
| LBN Legal business name | Grace Personal Care Service, Inc |
| DBA Doing business as | |
| Authorized official | Crider, Tom |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Jul 27th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164638565 | NPPES |
| New Mexico | MEDICAID | 79382363 |
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