NPIMap

Organization Active NPI

Grace Visiting Nurses and Home Health Services, Inc.

  • Home Health Agency
  • Jacksonville, TX
National Provider Identifier
1609908409
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
003045 Issued in TX
Legal business name
GRACE VISITING NURSES AND HOME HEALTH SERVICES, INC.
Practice address
111 Cash St
Jacksonville, TX 75766-8869
Phone
(903) 586-9485
Fax
(903) 589-1186
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Authorized official

Name
Aubrey D Keith
Title
Owner/Ceo
Phone
(903) 586-9485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 003045 TX Primary

Addresses

Primary practice location

111 Cash St
Jacksonville, TX 75766-8869

Mailing address

111 Cash St
Jacksonville, TX 75766-8869
Phone (903) 586-9485

Other identifiers 4

IdentifierTypeStateIssuer
001012548MedicaidTX
001012549MedicaidTX
001002194MedicaidTX
168313801MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Grace Visiting Nurses and Home Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1609908409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CASH ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757668869",
            "telephone_number": "903-586-9485",
            "fax_number": "903-589-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CASH ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757668869",
            "telephone_number": "903-586-9485",
            "fax_number": "903-589-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE VISITING NURSES AND HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-586-9485"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012548",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012549",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001002194",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168313801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.