NPIMap

Organization Active NPI

Touched by Grace Homecare LLC

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1336826411
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
TOUCHED BY GRACE HOMECARE LLC
Doing business as
Touched by Grace Homecare LLC
Practice address
5375 Shattalon Dr
Winston Salem, NC 27106-1936
Phone
(336) 287-6723
NPI assigned
Jun 30, 2023
Last updated
Jun 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Tashicka Fulks
Title
Ceo
Phone
(336) 287-6723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5375 Shattalon Dr
Winston Salem, NC 27106-1936

Mailing address

2020 Duckworth CT
Winston Salem, NC 27106-9619
Phone (336) 287-6723

Other names 1

  • TOUCHED BY GRACE HOMECARE LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5375 Shattalon Dr
Winston Salem, NC 27106
Phone (336) 287-6723

NPI Registry JSON

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1336826411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 DUCKWORTH CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271069619",
            "telephone_number": "336-287-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5375 SHATTALON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271061936",
            "telephone_number": "336-287-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCHED BY GRACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "FULKS",
        "authorized_official_first_name": "TASHICKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-287-6723"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOUCHED BY GRACE HOMECARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.