Grace Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009334 Issued in TX

Legal business name

GRACE HOSPICE, LLC

Doing business as

Grace Hospice, LLC

Practice address

730 Avenue F
Ste 200
Plano, TX 75074-6752

Phone

(972) 424-3454

Fax

(972) 424-3054

NPI assigned

Jun 13, 2005

Last updated

Jun 8, 2017By 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

Mr. Kirk B Wied

Title

Ceo

Phone

(972) 424-3454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Hospice, LLC Doing business as

Locations

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496880000000",
    "number": "1316941818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 AVENUE F",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746752",
            "telephone_number": "972-424-3454",
            "fax_number": "972-424-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 AVENUE F",
            "address_2": "STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746752",
            "telephone_number": "972-424-3454",
            "fax_number": "972-424-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2017-06-08",
        "status": "A",
        "authorized_official_last_name": "WIED",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-424-3454",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001004614",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Hospice, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Grace Primary Home Health Care, Inc.
• Grace Rehab, Inc.
• Grace Vision Inc (The Plano Eye Care Center)

• Community Based Hospice Care Agency in Plano, TX
• Providers in Plano, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2017; 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.