Grace Abbey Community Development Corporation

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION

Doing business as

Guiding Grace

Practice address

405 E State Highway 121 Ste a
Lewisville, TX 75057-4787

Phone

(337) 316-4129

NPI assigned

Jun 10, 2020

Last updated

Jun 10, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Avery D Wiles, MD

Title

Ceo

Phone

(337) 316-4129

Specialties & licenses 1

Addresses

Other names 1

• Guiding Grace Doing business as

Electronic endpoints 1

Part of

Grace Abbey Community Development Corporation

Locations

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1609491182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E STATE HIGHWAY 121",
            "address_2": "BUILDING A, SUITE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750574787",
            "telephone_number": "337-316-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E STATE HIGHWAY 121 STE A",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750574787",
            "telephone_number": "337-316-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "AVERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-316-4129",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "guidinggrace@gccnd.org",
            "affiliation": "N",
            "endpointDescription": "Vitals",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 E State Highway 121 Ste A",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750574787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Guiding Grace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.