Extended Grace Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EXTENDED GRACE HOME HEALTHCARE, LLC

Practice address

1605 Branchview CT
Keller, TX 76248-6833

Phone

(817) 576-2408

Fax

(817) 916-8802

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Preethi Abraham

Title

Director of Client Services

Phone

(817) 576-2408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1316374119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 DAVIS BLVD # 134-208",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761828367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 BRANCHVIEW CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762486833",
            "telephone_number": "817-576-2408",
            "fax_number": "817-916-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED GRACE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "PREETHI",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "817-576-2408"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everest Rehabilitation Hospital Keller, LLC (Texas Rehabilitation Hospital of Keller)
• Everyday Angels, LLC (Visiting Angels)
• Evolution Pediatric Therapy, LLC
• Excelsium LLC (Thrive Chiropractic)
• Expecare,LP (Texas Walk-in & Urgent Care)
• Lori Ann Neill Faglie, FNP-C
• Victoria Faglie
• Jaclyn Louise Fahey
• Nicole Marie Fakoory, MA CCC-SLP
• Fall Creek Surgical Assistants

• Home Health Agency in Keller, TX
• Providers in Keller, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.