Organization Active NPI

Grace Personal Care Services, LLC

  • In Home Supportive Care Agency
  • Milwaukee, WI
National Provider Identifier
1699072884
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACE PERSONAL CARE SERVICES, LLC
Practice address
3246 N Teutonia Ave
Milwaukee, WI 53206-2265
Phone
(414) 336-5556
Fax
(414) 264-4825
NPI assigned
Feb 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Authorized official

Name
Mrs. Lantona T Thornton, RN
Title
Director
Phone
(414) 336-5556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3246 N Teutonia Ave
Milwaukee, WI 53206-2265

Mailing address

PO Box 06221
Milwaukee, WI 53206-0221
Phone (414) 336-5556

Other identifiers 1

IdentifierTypeStateIssuer
100011394MedicaidWI

Other names 1

  • Grace Supportive Living Services, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Grace Personal Care Services LLC2 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.

Locations

3246 N Teutonia Ave
Milwaukee, WI 53206
Phone (414) 264-4824

NPI Registry JSON

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

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298505600000",
    "number": "1699072884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 06221",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532060221",
            "telephone_number": "414-336-5556",
            "fax_number": "414-264-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 N TEUTONIA AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532062265",
            "telephone_number": "414-336-5556",
            "fax_number": "414-264-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-02-24",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "LANTONA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-336-5556",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011394",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Supportive Living Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.