Grace Human Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE HUMAN SERVICES LLC

Practice address

1305 W Chester Pike
Havertown, PA 19083-2929

Phone

(888) 322-3611

NPI assigned

Jul 19, 2024

Organization subpart

No

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

Authorized official

Name

Chavone Jackson

Title

President

Phone

(888) 322-3611

Specialties & licenses 3

Addresses

Other names 1

• Grace Community Services Doing business as

Locations

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1699513846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832929",
            "telephone_number": "888-322-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832929",
            "telephone_number": "888-322-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HUMAN SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CHAVONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-322-3611"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Giusti, M.A., CCC-SLP
• Sydney Gocial, WHNP-BC
• William Goldstein, MD
• Stephanie Flexer Graaf, MPT
• Grace Collective Counseling
• Tom Gradowski Jr.
• Tamarra Graham, APN, PMHNP-BC
• Meridith Grasso
• Alisha Graves
• Michael Anthony Graziano, M.ED. L.M.F.T.

• In Home Supportive Care Agency in Havertown, PA
• Providers in Havertown, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.