Organization Active NPI

Tree of Life Healthcare Services LLC

  • Intellectual Disabilities Intermediate Care Facility
  • Lancaster, TX
National Provider Identifier
1285398339
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
TREE OF LIFE HEALTHCARE SERVICES LLC
Practice address
621 Griffin St
Lancaster, TX 75146-2329
Phone
(214) 560-4482
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Sharecka Grubbs, RNNPI 1497312870
Title
Director
Phone
(214) 434-3141

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician)Group: 193400000X SINGLE SPECIALTY GROUP 247ZC0005X
Assisted Living Facility 310400000X
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

621 Griffin St
Lancaster, TX 75146-2329

Mailing address

621 Griffin St
Lancaster, TX 75146-2329
Phone (214) 560-4482

Other names 2

  • Quality Mobile Lab Doing business as
  • Saving Grace Homes Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address treeoflifehealthcareservicesllc@protonmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211105001142 TX Part B Supplier - Independent Clinical Laboratory 1951790302 Practice locations: Lancaster, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2236122Quality Mobile Lab621 Griffin St, Lancaster, TX 75146Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1285398339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 GRIFFIN ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462329",
            "telephone_number": "214-560-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 GRIFFIN ST",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462329",
            "telephone_number": "214-560-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "SHARECKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-434-3141",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "treeoflifehealthcareservicesllc@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "621 Griffin St",
            "city": "Lancaster",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751462329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Quality Mobile Lab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saving Grace Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.