Grace Therapeutic Homes, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

015594 Issued in TX

Legal business name

GRACE THERAPEUTIC HOMES, LLC

Practice address

1206 W Jasper Dr
A
Killeen, TX 76549-1253

Phone

(254) 245-9592

Fax

(254) 245-9557

NPI assigned

Sep 15, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Icilda G Edwards, LVN

Title

Owner/Operator

Phone

(254) 245-9592

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1013299031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 JASPER RD.",
            "address_2": "SUITE A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765492103",
            "telephone_number": "254-245-9592",
            "fax_number": "254-245-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W JASPER DR",
            "address_2": "A",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765491253",
            "telephone_number": "254-245-9592",
            "fax_number": "254-245-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE THERAPEUTIC HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ICILDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "254-245-9592",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Titania Gordon
• Benita Gordonsmith, COTA
• Anna Sue Gossett, PHARM.D.
• Terri Denise Gossett, NCC, LPC
• Jacquelyn Gouge, M.S., CCC/SLP
• Meagan Carri Graham
• Patricia R Graham, SLP
• Keri Grandalski
• Racent Grant, BCBA
• Tamica Grant

• Home Health Agency in Killeen, TX
• Providers in Killeen, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.