Grace in-Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

4234 Issued in CA

Legal business name

GRACE IN-HOME CARE

Practice address

125 Caldwell St
Cloverdale, CA 95425-3913

Phone

(707) 799-0404

NPI assigned

May 25, 2017

Last updated

Jul 21, 2022By 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

Capetu Gukisuva Sauvou

Title

Owner

Phone

(707) 799-0404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508394263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CALDWELL ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253913",
            "telephone_number": "707-799-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CALDWELL ST",
            "city": "CLOVERDALE",
            "state": "CA",
            "postal_code": "954253913",
            "telephone_number": "707-799-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE IN-HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAUVOU",
        "authorized_official_first_name": "CAPETU",
        "authorized_official_middle_name": "GUKISUVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-799-0404"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "4234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendall Galvez, FNP
• Kevin Joseph Garvin, DDS
• Mark William Garwah, DC
• Carolyn Gibbs Rankin, LMFT
• Cynthia Gorton, LMFT
• Virginia Grace-Braun
• Anne E Gradek, MS CCC-SLP
• Emily E Grant, PPS
• John B. Greenhalgh, PHD
• Marya E Grosse, FNP

• In Home Supportive Care Agency in Cloverdale, CA
• Providers in Cloverdale, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.