Home of Grace NC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOME OF GRACE NC LLC

Practice address

2501 Lyon St
Gastonia, NC 28052-6251

Phone

(757) 779-4593

NPI assigned

Jul 2, 2024

Last updated

Jul 5, 2024By 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

Renea Church

Title

Mrs

Phone

(757) 779-4593

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720137600000",
    "number": "1174369862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1745",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "757-779-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 LYON ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280526251",
            "telephone_number": "757-779-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF GRACE NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "RENEA",
        "authorized_official_title_or_position": "MRS",
        "authorized_official_telephone_number": "757-779-4593"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollis Lee Jones, DDS, P.a (Affordable Dentures & Implants - Gastonia)
• Christopher W Holloman
• Joseph Holman, M.D.
• Tasha Nicole Perkins Holmes, OCCUPATIONAL THERAPY
• April Holowka
• Jordan Alan Honbarger, MSW
• Sammy Honeycutt, M. D.
• Jordan Hoogerhyde
• Brittney Hooker
• Janelle Hoover-Pollock, MSW, LCSW

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; 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.