Grace Homecare Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE HOMECARE SERVICES LLC

Practice address

15508 Knudsen Cir
Bennington, NE 68007-1914

Phone

(402) 237-6085

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Elias Njiru Njiru Karenju, OWNER

Title

Owner

Phone

(402) 237-6085

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace HomeCare Services LLC Other name

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1033965256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 KNUDSEN CIR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071914",
            "telephone_number": "402-237-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15508 KNUDSEN CIR",
            "city": "BENNINGTON",
            "state": "NE",
            "postal_code": "680071914",
            "telephone_number": "402-237-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-28",
        "status": "A",
        "authorized_official_last_name": "KARENJU",
        "authorized_official_first_name": "ELIAS NJIRU",
        "authorized_official_middle_name": "NJIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-237-6085",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78299346",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace HomeCare Services LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Huguette B. Chantal Ganlonon Coovi
• Kimberly Wutsnu-Beatrice Gilmore
• Nichol Marie Golyar, MSED
• Ronald Lee Golyar
• Theresa May Golyar
• Dominiqua Graves
• Cherice Green
• Cherish Green
• Chanice Gresham
• Chasity Gresham

• In Home Supportive Care Agency in Bennington, NE
• Providers in Bennington, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.