Grace Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

340314987 Issued in CA

Legal business name

GRACE HOME

Practice address

9260 Loma LN
Orangevale, CA 95662-4216

Phone

(916) 989-2184

Fax

(916) 987-1555

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Jacinto Ibanez, R.N.

Title

Administrator

Phone

(916) 989-2184

Specialties & licenses 1

Addresses

Tax ID family

Grace Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grace Home I

  • Adult Care Home Facility
  • Orangevale, CA
  • NPI 1528143476
  NPD tax ID

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1023190980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 LOMA LN",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624216",
            "telephone_number": "916-989-2184",
            "fax_number": "916-987-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 LOMA LN",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624216",
            "telephone_number": "916-989-2184",
            "fax_number": "916-987-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "IBANEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JACINTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-989-2184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "340314987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Whipple Getman, MA CCC SLP INACTIVE
• Glen Creek Villa
• Ajna Glisic, LMFT
• Golden Life Resources LLC
• Angela Marie Gonzalez
• Grace Home I
• Krystal Greene
• Vanessa Grenyion, PHARMD
• Tenesha Griffin
• Maria Sabrina Grismore

• Adult Care Home Facility in Orangevale, CA
• Providers in Orangevale, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.