Active NPI
Grace at Home Senior Care
- Home Health Agency
- Sherwood, AR
National Provider Identifier
1861742090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRACE AT HOME SENIOR CARE
- Practice address
- 2902 E Kiehl Ave Ste 1a
Sherwood, AR 72120-3280 - Phone
- (501) 835-4663
- NPI assigned
- Sep 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandy Masters
- Title
- Manager
- Phone
- (501) 835-4663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | AR | Primary |
Addresses
Primary practice location
2902 E Kiehl Ave Ste 1a
Sherwood, AR 72120-3280
Mailing address
2902 E Kiehl Ave Ste 1a
Sherwood, AR 72120-3280
Phone (501) 835-4663
National Provider Directory
National Provider Directory- Tax ID family
- Grace at Home Senior Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Sherwood, AR
- NPI 1295015865
Locations
2902 E Kiehl Ave
Ste 1A
Sherwood, AR 72120
Phone (501) 834-2727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1861742090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 E KIEHL AVE STE 1A",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203280",
"telephone_number": "501-835-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 E KIEHL AVE STE 1A",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721203280",
"telephone_number": "501-835-4663"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE AT HOME SENIOR CARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-14",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "MASTERS",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "501-835-4663"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.