Gracious Community Homes Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACIOUS COMMUNITY HOMES INC

Practice address

3900 Joe Ramsey Blvd E # 10a
Greenville, TX 75401-7727

Phone

(190) 360-3901

Fax

(972) 395-1272

NPI assigned

Jul 25, 2018

Organization subpart

No

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

Authorized official

Name

Roy A Koshy

Title

Ceo

Phone

(972) 951-1933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1780161406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 MUSCOGEE TRL",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101165",
            "telephone_number": "972-951-1933",
            "fax_number": "972-395-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 JOE RAMSEY BLVD E # 10A",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017727",
            "telephone_number": "190-360-3901",
            "fax_number": "972-395-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS COMMUNITY HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-951-1933"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Greenville, TX
• Providers in Greenville, 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 Mar 30, 2022; 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.