Giving Grace Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GIVING GRACE GROUP HOME

Practice address

1215 E Robert St
Ft Worth, TX 76104-6627

Phone

(469) 352-0102

NPI assigned

Jul 25, 2024

Last updated

Jul 25, 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

Elisha Ann Chambers

Title

Owner

Phone

(469) 352-0102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1245068717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 E ROBERT ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761046627",
            "telephone_number": "469-352-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E ROBERT ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761046627",
            "telephone_number": "469-352-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIVING GRACE GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-352-0102"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glen M Giroir Jr., CRNA
• Venessa Rose Giron, CPM, LM
• Josephine Gitau
• Mark Steven Givan, DDS
• Kajuana Givens
• Giving Grace Shared Living
• Gladney (Behavioral Health Services by Gladney)
• M L Gladney Jr., LPC
• Debra Ann Glaser, LPC ASSOCIATE
• Kayla Glaser, AU.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.