Organization Active NPI

Graced &Gifted Hands Home Health LLC

  • Home Health Agency
  • Texarkana, TX
National Provider Identifier
1124781679
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACED &GIFTED HANDS HOME HEALTH LLC
Doing business as
Graced &Gifted Hands Home Health LLC
Practice address
1610 Rosewood St
Texarkana, TX 75501-4082
Phone
(414) 610-1426
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Miss Hitashia Nichole Goodmon, MS, BANPI 1396374435
Title
Founder
Phone
(414) 610-1426

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1610 Rosewood St
Texarkana, TX 75501-4082

Mailing address

1610 Rosewood St
Texarkana, TX 75501-4082
Phone (414) 610-1426

Other names 1

  • Graced &Gifted Hands Home Health LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1124781679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ROSEWOOD ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014082",
            "telephone_number": "414-610-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ROSEWOOD ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014082",
            "telephone_number": "414-610-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACED &GIFTED HANDS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "GOODMON",
        "authorized_official_first_name": "HITASHIA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "414-610-1426",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS, BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graced &Gifted Hands Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.