Grace Home Healthcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE HOME HEALTHCARE, LLC

Practice address

4080 Fawn Dr
Harrisburg, PA 17112-2861

Phone

(240) 521-8167

Fax

(717) 754-0263

NPI assigned

Jun 30, 2020

Organization subpart

No

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

Authorized official

Name

Bal Biswa

Title

President/Owner

Phone

(240) 521-8167

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1811514425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 FAWN DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122861",
            "telephone_number": "240-521-8167",
            "fax_number": "717-754-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 FAWN DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122861",
            "telephone_number": "240-521-8167",
            "fax_number": "717-754-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BISWA",
        "authorized_official_first_name": "BAL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "240-521-8167"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callan Michele Goshorn, OTR/L
• Jeremy R Goshorn, PH.D., LCMHC, LPC
• Mary Jean Gould-Earley, MD
• Lindsey Marie Govern, DO
• Sara Grab, CRNP
• Grace Touch Home Care LLC
• Thomas Graden, PA-C
• Ashley M Graham, RD, LDN
• Cheyenne Graham
• Jennifer Lynn Grana, D.O.

• In Home Supportive Care Agency in Harrisburg, PA
• Providers in Harrisburg, 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 Jun 30, 2020; 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.