Grace Home Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC3897 Issued in NC

Legal business name

GRACE HOME CARE AGENCY

Practice address

406 N Walnut St
Suite C
Lumberton, NC 28358-5505

Phone

(910) 739-8911

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Legretta M Lee, R.N.

Title

Administrator

Phone

(910) 739-8911

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1669705166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3594",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283593594",
            "telephone_number": "910-739-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 N WALNUT ST",
            "address_2": "SUITE C",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585505",
            "telephone_number": "910-739-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LEGRETTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-739-8911",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luetisser Elnora Goodman
• Gordon Family Medicine
• Amber M. Gordon, RD,LDN
• Paul Anthony Gordon, M.D.
• Gayle Sarah Gottlieb, D.D.S
• Barry Gerard Graham, PA-C
• Chandra Jeanne Graham, LPC
• Charles Graham
• Kevin Eugene Graham, MSW, LCAS
• Zoe Rose Naumburg Gravitz, MD

• In Home Supportive Care Agency in Lumberton, NC
• Providers in Lumberton, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.