Active NPI
Grace Theios, LLC
- In Home Supportive Care Agency
- Carthage, MO
National Provider Identifier
1477098531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GRACE THEIOS, LLC
- Practice address
- 6031 County Road 105
Carthage, MO 64836 - Phone
- (417) 317-4434
- NPI assigned
- Dec 28, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Igor Gonzalez
- Title
- Executive Director
- Phone
- (417) 392-1297
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO |
Addresses
Primary practice location
6031 County Road 105
Carthage, MO 64836
Mailing address
6031 County Road 105
Carthage, MO 64836
Phone (417) 317-4434
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1477098531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 COUNTY ROAD 105",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "64836",
"telephone_number": "417-317-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 COUNTY ROAD 105",
"city": "CARTHAGE",
"state": "MO",
"postal_code": "64836",
"telephone_number": "417-317-4434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE THEIOS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-28",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "IGOR",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "417-392-1297"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "MO",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.