Grace Care of Texas

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4802 Issued in TX

Legal business name

GRACE CARE OF TEXAS

Doing business as

Community Care Center of Crockett

Practice address

1150 E Loop 304
Crockett, TX 75835-1810

Phone

(936) 544-2051

Fax

(936) 544-8981

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David O Crowson

Title

Receivership

Phone

(972) 278-3566

Specialties & licenses 1

Addresses

Other names 1

• Community Care Center of Crockett Doing business as

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275641458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W CENTERVILLE RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415445",
            "telephone_number": "972-278-3566",
            "fax_number": "972-840-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E LOOP 304",
            "city": "CROCKETT",
            "state": "TX",
            "postal_code": "758351810",
            "telephone_number": "936-544-2051",
            "fax_number": "936-544-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "RECEIVERSHIP",
        "authorized_official_telephone_number": "972-278-3566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "4802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care Center of Crockett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Holley Frazier
• Fresenius Kidney Care Trailblazer, LLC
• Ronni Renee Gallina
• John Vernon Garner, DDS
• Paige Danielle Gonzalez, M.S., CCC-SLP
• Grace Care of Texas, Inc.
• Grapeland Nursing Center, LTD
• Angela Almand Green
• Samuel Bateman Grimmer, MD
• Stephanie Gunnels

• Skilled Nursing Facility in Crockett, TX
• Providers in Crockett, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.