Grace Presbyterian Ministries, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004284 Issued in TX

Legal business name

GRACE PRESBYTERIAN MINISTRIES, INC.

Doing business as

Grace Presbyterian Village

Practice address

550 E Ann Arbor Ave
Dallas, TX 75216-6718

Phone

(214) 376-1701

NPI assigned

Nov 2, 2005

Last updated

May 23, 2019By 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

Mark Earl Richardson

Title

Director Healthcare Services

Phone

(214) 226-8068

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grace Presbyterian Village Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lavon Beth Hasan, APRN, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1821679994
  NPD

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558569600000",
    "number": "1356332837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12467 MERIT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512344",
            "telephone_number": "214-413-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E ANN ARBOR AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752166718",
            "telephone_number": "214-376-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PRESBYTERIAN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-05-23",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "DIRECTOR HEALTHCARE SERVICES",
        "authorized_official_telephone_number": "214-226-8068"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "004284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Presbyterian Village",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Presbyterian Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Focus Care Services, LLC
• Grace in Healings PLLC
• Grace Outreach
• Grace Place Collin LLC (The Grace Agency)
• Grace Place Counseling, PLLC
• Grace Southern Medical Clinic, PLLC
• Grace T. Chu, D.M.D., P.a.
• Grace to You Pediatrics (Grace to you healthcare)
• Grace-Eden Homecare Services
• Blake Deron Grace

• Skilled Nursing Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.