Organization Active NPI

Grace Caregivers, LLC

  • In Home Supportive Care Agency
  • Lexington, SC
National Provider Identifier
1003390220
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Sep 24, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IHCP-0722MedicaidSC

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.