Grace PHC Service LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

GRACE PHC SERVICE LLC

Practice address

108 N Lupe Ste B
Rio Grande City, TX 78582-9552

Phone

(956) 212-7216

NPI assigned

Apr 13, 2022

Last updated

Sep 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisa Solis

Title

Ceo

Phone

(956) 212-7216

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1053053538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N LUPE STE B",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829552",
            "telephone_number": "956-212-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N LUPE STE B",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785829552",
            "telephone_number": "956-212-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHC SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "ELISA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-212-7216"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenia Elizabeth Gonzalez
• Mia Delagarza Gonzalez, PA -C
• Palmira Gonzalez, M.ED., LPC
• Yolanda Elena Gonzalez, PA
• Anil Gottimukkala, RPH
• Myrna Domansi Grajo, FNP
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• Nicholas Green
• Dora Y Griffith, PA-C
• Iris Yanira Guerra, P.A.

• Personal Care Attendant in Rio Grande City, TX
• Providers in Rio Grande City, 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 Sep 22, 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.