Organization Active NPI

Grace Home Health Care LLC

  • In Home Supportive Care Agency
  • Shreveport, LA
National Provider Identifier
1174204119
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACE HOME HEALTH CARE LLC
Doing business as
Grace Home Care LLC
Practice address
3000 Knight St Ste 204
Shreveport, LA 71105-2573
Phone
(318) 489-1459
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Ms. Latasha Nicole Walker
Title
Owner
Phone
(318) 489-1459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3000 Knight St Ste 204
Shreveport, LA 71105-2573

Mailing address

5303 E Texas St Lot 89
Bossier City, LA 71111-6958
Phone (318) 489-1459

Other names 1

  • Grace Home Care LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Knight St
Ste 204
Shreveport, LA 71105
Phone (318) 489-1459

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1174204119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 E TEXAS ST LOT 89",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711116958",
            "telephone_number": "318-489-1459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 KNIGHT ST STE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052573",
            "telephone_number": "318-489-1459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-489-1459",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.