Organization Active NPI

Grace Personal Care Services, LLC

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1023372190
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
100011394 Issued in WI
Legal business name
GRACE PERSONAL CARE SERVICES, LLC
Practice address
3246 N Teutonia Ave
Milwaukee, WI 53206-2265
Phone
(414) 264-4824
Fax
(414) 264-4825
NPI assigned
Jul 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Authorized official

Name
Lantona T. Thornton, RN
Title
Director
Phone
(414) 264-4825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 100011394 WI Primary

Addresses

Primary practice location

3246 N Teutonia Ave
Milwaukee, WI 53206-2265

Mailing address

PO Box 6221
Milwaukee, WI 53206-0221
Phone (414) 264-4824

Other identifiers 1

IdentifierTypeStateIssuer
100011394MedicaidWI

National Provider Directory

National Provider Directory
Tax ID family
Grace Personal Care Services LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341273600000",
    "number": "1023372190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6221",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532060221",
            "telephone_number": "414-264-4824",
            "fax_number": "414-264-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062265",
            "telephone_number": "414-264-4824",
            "fax_number": "414-264-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-03",
        "last_updated": "2012-07-03",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LANTONA",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-264-4825",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "100011394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011394",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.