Organization Active NPI

Grace in-Home Care LLC

Doing business as Gihc

  • In Home Supportive Care Agency
  • Bristol, VA
National Provider Identifier
1376787051
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-09555 Issued in VA
Legal business name
GRACE IN-HOME CARE LLC
Doing business as
Gihc
Practice address
22 Lee St
Suite 100
Bristol, VA 24201-4306
Phone
(276) 644-9699
Fax
(276) 644-1487
NPI assigned
Apr 27, 2009
Last updated
Apr 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Authorized official

Name
Mr. Danny Earl Montgomery, BS
Title
Partner/Manager
Phone
(423) 956-5206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-09555 VA Primary

Addresses

Primary practice location

22 Lee St
Suite 100
Bristol, VA 24201-4306

Mailing address

22 Lee St
Suite 100
Bristol, VA 24201-4306
Phone (276) 644-9699

Other names 1

  • GIHC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1376787051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LEE ST",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014306",
            "telephone_number": "276-644-9699",
            "fax_number": "276-644-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LEE ST",
            "address_2": "SUITE 100",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014306",
            "telephone_number": "276-644-9699",
            "fax_number": "276-644-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE IN-HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PARTNER/MANAGER",
        "authorized_official_telephone_number": "423-956-5206",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-09555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GIHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.