Grace Residential Enterprises

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

116790 Issued in TX

Legal business name

GRACE RESIDENTIAL ENTERPRISES

Doing business as

Lea Farms Residence

Practice address

1318 Piedmont Dr
Abilene, TX 79601-5552

Phone

(325) 673-3397

Fax

(325) 673-3397

NPI assigned

May 8, 2007

Last updated

Aug 22, 2020By 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

Ms. Jeanene P Strickland, MS,LPA

Title

Ceo

Phone

(325) 673-3397

Specialties & licenses 1

Addresses

Other names 1

• Lea Farms Residence Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1093928533. Details of each certification follow.

• CCN 45G785 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 45G785

Legal name

GRACE RESIDENTIAL

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 5, 1991

Last certification

Apr 25, 2025

Beds

6

Ownership / control type

Private (proprietary)

Facility address

1318 Piedmont Dr
Abilene, TX 79601

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093928533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 PIEDMONT DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015552",
            "telephone_number": "325-673-3397",
            "fax_number": "325-673-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 PIEDMONT DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015552",
            "telephone_number": "325-673-3397",
            "fax_number": "325-673-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE RESIDENTIAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRICKLAND",
        "authorized_official_first_name": "JEANENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "325-673-3397",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS,LPA"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "TX",
            "license": "116790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lea Farms Residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Beth Gorsline
• Morgan Victoria Gossett, PT, DPT
• Tiffany Goswick, LPC
• Brianna Goulet, RBT
• Lauren Gower, OT
• Olivia Renee Graham-Williams, FNP-C
• Leayh Graham, LCSW
• Mary Helen Graham, OTR, CHT
• Mlee Ashton Graham
• Nicole Graham, SSP

• Intellectual Disabilities Intermediate Care Facility in Abilene, TX
• Providers in Abilene, TX by specialty
• Intellectual Disabilities Intermediate Care Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.