Organization Active NPI

Gracefill Home Health Agency Inc.

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1164087284
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFILL HOME HEALTH AGENCY INC.
Practice address
5534 Fredericksburg Rd Apt 152
San Antonio, TX 78229-3582
Phone
(210) 719-8264
Fax
(210) 547-6867
NPI assigned
May 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Authorized official

Name
Ekane Henry Ntubeh
Title
Administrator
Phone
(210) 719-8264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5534 Fredericksburg Rd Apt 152
San Antonio, TX 78229-3582

Mailing address

5534 Fredericksburg Rd Apt 152
San Antonio, TX 78229-3582
Phone (210) 719-8264

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1164087284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 FREDERICKSBURG RD APT 152",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293582",
            "telephone_number": "210-719-8264",
            "fax_number": "210-547-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 FREDERICKSBURG RD APT 152",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293582",
            "telephone_number": "210-719-8264",
            "fax_number": "210-547-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFILL HOME HEALTH AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "NTUBEH",
        "authorized_official_first_name": "EKANE",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-719-8264"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.