Organization Active NPI

Grace Assistive Program Services, LLC

  • Assisted Living Facility
  • Desoto, TX
National Provider Identifier
1588809669
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRACE ASSISTIVE PROGRAM SERVICES, LLC
Practice address
1117 Beaver Brook LN
Desoto, TX 75115-2752
Phone
(214) 208-2790
Fax
(972) 499-8325
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Ms. Yolanda Michelle Brooks
Title
Director
Phone
(214) 208-2790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

1117 Beaver Brook LN
Desoto, TX 75115-2752

Mailing address

PO Box 2865
Desoto, TX 75123-2865
Phone (214) 208-2790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1588809669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2865",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751232865",
            "telephone_number": "214-208-2790",
            "fax_number": "972-499-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 BEAVER BROOK LN",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152752",
            "telephone_number": "214-208-2790",
            "fax_number": "972-499-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ASSISTIVE PROGRAM SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-208-2790",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.