Holy Grace Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOLY GRACE HOME CARE LLC

Practice address

1644 Buckingham Rd
Harrisburg, PA 17111-6990

Phone

(510) 239-8108

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Krishna Subba

Title

President

Phone

(510) 239-8108

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1386327591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 BUCKINGHAM RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116990",
            "telephone_number": "510-239-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 BUCKINGHAM RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171116990",
            "telephone_number": "510-239-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY GRACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "SUBBA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-239-8108"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler David Hollingsworth, CRNA
• Ktice Karyone Holmes
• Angela M Holt, NP
• James K Holt
• Troy Douglas Holtschulte, PT
• Holy Spirit Health System
• Holy Spirit Hospital
• Holy Spirit Hospital
• Home Base Caregivers LLC
• Home Care Assistance

• In Home Supportive Care Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.