Organization Active NPI

Shield of Grace HHC, LLC

  • In Home Supportive Care Agency
  • El Paso, TX
National Provider Identifier
1508268236
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHIELD OF GRACE HHC, LLC
Practice address
11395 James Watt a-11
11395 James Watt Suite a-11
El Paso, TX 79936
Phone
(915) 592-4000
Fax
(915) 633-9855
NPI assigned
Sep 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Mr. Osvaldo Rick Terrazas
Title
Administrator
Phone
(915) 592-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

11395 James Watt a-11
11395 James Watt Suite a-11
El Paso, TX 79936

Mailing address

11395 James Watt a-11
11395 James Watt Suite a-11
El Paso, TX 79936
Phone (915) 592-4000

Other names 1

  • SHIELD OF GRACE HOME HEALTHCARE 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": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1508268236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11395 JAMES WATT A-11",
            "address_2": "11395 JAMES WATT SUITE A-11",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-592-4000",
            "fax_number": "915-633-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11395 JAMES WATT A-11",
            "address_2": "11395 JAMES WATT SUITE A-11",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-592-4000",
            "fax_number": "915-633-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIELD OF GRACE HHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "TERRAZAS",
        "authorized_official_first_name": "OSVALDO",
        "authorized_official_middle_name": "RICK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-592-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHIELD OF GRACE HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHIELD OF GRACE HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.