Grace Youth Homes LLC
Organization Active NPI Case Manager/Care Coordinator · Oakland, TN
NPI 1134062565 · NPPES record last updated Apr 10, 2026
Key facts
- NPI
- 1134062565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Legal business name
- GRACE YOUTH HOMES LLC
- Practice address
- 155 Oak Hollow Dr
Oakland, TN 38060-5287 - Phone
- (901) 930-3486
- NPI assigned
- Apr 10, 2026
- Organization subpart
- No
Authorized official
- Name
- Raynico Threat
- Title
- Co-Owner
- Phone
- (901) 930-3486
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | Yes |
Addresses
Primary practice location
155 Oak Hollow Dr
Oakland, TN 38060-5287
Mailing address
155 Oak Hollow Dr
Oakland, TN 38060-5287
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All providers in Oakland, TN · Case Manager/Care Coordinator in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.