Graceland Health Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACELAND HEALTH SERVICES INC

Practice address

17934 Royal Gate LN
Richmond, TX 77407-4764

Phone

(346) 316-6150

NPI assigned

Feb 28, 2022

Organization subpart

No

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

Authorized official

Name

Augustina Sangodeyi

Title

Prpgram Director

Phone

(346) 316-6150

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1326794470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17934 ROYAL GATE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074764",
            "telephone_number": "346-316-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17934 ROYAL GATE LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774074764",
            "telephone_number": "346-316-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SANGODEYI",
        "authorized_official_first_name": "AUGUSTINA",
        "authorized_official_title_or_position": "PRPGRAM  DIRECTOR",
        "authorized_official_telephone_number": "346-316-6150"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Richmond, TX
• Providers in Richmond, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.