Grace Built Foundation LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACE BUILT FOUNDATION LLC

Practice address

1803 E Brown St
Lubbock, TX 79403-4029

Phone

(817) 228-8307

Fax

(817) 228-8307

NPI assigned

Apr 10, 2026

Organization subpart

No

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

Authorized official

Name

Miranda M Gatewood

Title

Director

Phone

(817) 228-8307

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1775779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1861335440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 E BROWN ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034029",
            "telephone_number": "817-228-8307",
            "fax_number": "817-228-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 E BROWN ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794034029",
            "telephone_number": "817-228-8307",
            "fax_number": "817-228-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE BUILT FOUNDATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-10",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "GATEWOOD",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-228-8307"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Orville Gore, MD
• Caleb Powell Gottlich, MD
• Kelsey K Gourley, PHARM.D.
• Michael David Gouvion, MD
• Grace Ambulatory Surgery Center LP
• Grace Clinic Imaging Department
• Grace Clinic of Lubbock
• Grace Clinic of Lubbock
• Grace Clinic of Lubbock
• Kelly Grace, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.