Active NPI
Grace Caregivers, LLC
- In Home Supportive Care Agency
- Lexington, SC
National Provider Identifier
1003390220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GRACE CAREGIVERS, LLC
- Practice address
- 108 Jamestowne CT Ste E
Lexington, SC 29072-2227 - Phone
- (803) 399-8014
- Fax
- (803) 399-8014
- NPI assigned
- Sep 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Thomas Metts
- Title
- Owner
- Phone
- (803) 399-8014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
108 Jamestowne CT Ste E
Lexington, SC 29072-2227
Mailing address
108 Jamestowne CT Ste E
Lexington, SC 29072-2227
Phone (803) 399-8014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IHCP-0722 | Medicaid | SC |
National Provider Directory
National Provider DirectoryLocations
108 Jamestowne Ct
#E
Lexington, SC 29072
Phone (803) 399-8014
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Primary Care Clinic/Center
- Lexington, SC
- NPI 1700484821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1003390220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 JAMESTOWNE CT STE E",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722227",
"telephone_number": "803-399-8014",
"fax_number": "803-399-8014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 JAMESTOWNE CT STE E",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290722227",
"telephone_number": "803-399-8014",
"fax_number": "803-399-8014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE CAREGIVERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "METTS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-399-8014"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "IHCP-0722",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.