House of Graces LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOUSE OF GRACES LLC

Doing business as

House of graces LLC

Practice address

4260 N 19TH Ave
Phoenix, AZ 85015-5108

Phone

(775) 379-3850

NPI assigned

Feb 17, 2021

Organization subpart

Yes

Parent organization

HOUSE OF GRACES LLCAs reported in NPPES

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

Authorized official

Name

Samantha D Owens

Title

Owner

Phone

(775) 379-3850

Specialties & licenses 1

Addresses

Other names 1

• House of graces LLC Doing business as

Part of

House of Graces LLC

Locations

Practitioners 1

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

• Tara Lynne Chase, LAC, MS, NCC

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1962127969

  Community/Behavioral Health

  NPD (past)

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1073106373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155108",
            "telephone_number": "775-379-3850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850155108",
            "telephone_number": "775-379-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF GRACES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF GRACES LLC",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-379-3850"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "House of graces LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Catherine Houle, OD
• Kristen L Hounsom, LPC
• Marcia Houpe, CNM
• Teri Ann Hourihan, PHD, LPC, NCC
• House Call Providers PLLC
• House of Hearts Arizona LLC
• House of Hope
• House of Hope Residential Homes LLC
• House of Love & Peace LLC
• House of Love & Peace LLC

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.