NPIMap

Organization Active NPI

Eternal Grace Relational Care

  • Case Management Agency
  • Liberty Hill, TX
National Provider Identifier
1265005136
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ETERNAL GRACE RELATIONAL CARE
Practice address
101 Jonathan Dr Unit 3
Liberty Hill, TX 78642-6358
Phone
(512) 277-0676
NPI assigned
Jul 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Kaylynn BrownNPI 1831731603
Title
Owner
Phone
(512) 415-1359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

101 Jonathan Dr Unit 3
Liberty Hill, TX 78642-6358

Mailing address

101 Jonathan Dr Unit 3
Liberty Hill, TX 78642-6358
Phone (512) 277-0676

Other identifiers 1

IdentifierTypeStateIssuer
804105581OtherTXCERTIFICATE OF FILING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@lhcounseling.net Direct

National Provider Directory

National Provider Directory

Locations

101 Jonathan Dr
Unit 3
Liberty Hill, TX 78642
Phone (512) 277-0676

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1265005136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JONATHAN DR UNIT 3",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426358",
            "telephone_number": "512-277-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JONATHAN DR UNIT 3",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786426358",
            "telephone_number": "512-277-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL GRACE RELATIONAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KAYLYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-415-1359"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF FILING",
            "identifier": "804105581",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@lhcounseling.net",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "101 Jonathan Dr Unit 3",
            "city": "Liberty Hill",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786426358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Liberty Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.