His Grace Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HIS GRACE ASSISTED LIVING

Practice address

2528 Jacobson Dr
Lewisville, TX 75067-8200

Phone

(469) 235-7900

NPI assigned

Oct 11, 2016

Organization subpart

No

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

Authorized official

Name

David MashushireNPI 1366898306

Title

Ceo

Phone

(469) 235-7900

Specialties & licenses 1

Addresses

Tax ID family

Baruch Services2 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.

• Baruch Services

  • Non-emergency Medical Transport (VAN)
  • Lewisville, TX
  • NPI 1154704328
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Mashushire

  • Driver
  • Lewisville, TX
  • NPI 1366898306
  NPD (past) Authorized official

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1740730902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2528 JACOBSON DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678200",
            "telephone_number": "469-235-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 JACOBSON DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678200",
            "telephone_number": "469-235-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIS GRACE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "MASHUSHIRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-235-7900"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Highland Family Medical Centers PA
• Elisabeth Claire Hill, CNA,CPT
• Sylvia Hill, PHD, LPC-S
• Crystal A Hilliard, LVN
• Karina Hernandez Hinojosa, PEDIATRIC NURSE PRAC
• HMG Lewisville SNF Operations, LP
• Benjamin Ho, OD
• Diana Hoang, M.S., CCC-SLP
• Lan Hoang, RNFA
• Candace Hoback, LVN

• Assisted Living Facility in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.