House of Grace

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HOUSE OF GRACE

Practice address

2207 Wickiup TRL
Harker Heights, TX 76548-2082

Phone

(254) 699-4500

NPI assigned

Jan 23, 2013

Organization subpart

No

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

Authorized official

Name

Janis Fern Gray

Title

Co-Adminastrator

Phone

(254) 699-4500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358899200000",
    "number": "1861730962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2755",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765480755",
            "telephone_number": "254-699-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 WICKIUP TRL",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765482082",
            "telephone_number": "254-699-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF GRACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-01-23",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "CO-ADMINASTRATOR",
        "authorized_official_telephone_number": "254-699-4500"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCS",
            "identifier": "3691 A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.