Mountain of Grace Homehealth,LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

MOUNTAIN OF GRACE HOMEHEALTH,LLC

Doing business as

Mountain Of Grace Homehealth,LLC

Practice address

9533 Jeremiah Dr
Fort Worth, TX 76108-5925

Phone

(817) 386-0223

NPI assigned

Aug 17, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Neyor MulubahNPI 1306511738

Title

Ceo

Phone

(817) 386-0223

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mountain Of Grace Homehealth,LLC Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia N Mulubah

  • Nurse's Aide
  • Fort Worth, TX
  • NPI 1306511738

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1053039917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151242",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761085242",
            "telephone_number": "817-386-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 JEREMIAH DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761085925",
            "telephone_number": "817-386-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN OF GRACE HOMEHEALTH,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "MULUBAH",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "NEYOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-386-0223",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DOES NOT RECOGNIZED PERSONAL ASSISTANT SERVICE",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mountainofgracehomehealthcare@mail.com",
            "affiliation": "N",
            "address_1": "9533 Jeremiah Dr Apt 318",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761085950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mountainofgracehomehealthcare@mail.com",
            "affiliation": "N",
            "address_1": "9533 Jeremiah Dr Apt 318",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761085950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mountain Of Grace Homehealth,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mountain Of Grace Homehealth,LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nangmoon Amanda Moua
• Sherry Moua, APRN, FNP-C
• Connie B Moulder, L.P.C.
• John Stephen Moulton, O.D.
• Kayla Mount
• Heba Mountaser, RD,LD
• Nicole R Moure
• Josphin Mouris
• Lauren Sanders Mouser, PA-C
• Ahmed Yousry Moussa, MD

• Personal Care Attendant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Personal Care Attendant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.