Grace Family Therapy, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE FAMILY THERAPY, INC

Practice address

42940 N Suburban Ave
San Tan Valley, AZ 85140-9899

Phone

(970) 560-0123

Fax

(480) 816-7588

NPI assigned

Mar 6, 2015

Organization subpart

No

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

Authorized official

Name

Michaelina Goodwin, MS CCC-SLP

Title

Ceo

Phone

(970) 560-0123

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michaelina Elliott, MS CCC-SLP

  • Speech-Language Pathologist
  • San Tan Valley, AZ
  • NPI 1063757037
  NPD (past)
• Lorraine Wright, SLPA

  • Speech-Language Assistant
  • Queen Creek, AZ
  • NPI 1194240564
  NPD (past)

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881087401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42940 N SUBURBAN AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409899",
            "telephone_number": "970-560-0123",
            "fax_number": "480-816-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42940 N SUBURBAN AVE",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409899",
            "telephone_number": "970-560-0123",
            "fax_number": "480-816-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "MICHAELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-560-0123",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Hope Resources Inc
• Good Hope Resources Inc
• Good Samaritan Homes
• Siara Goodyke
• Heather Gough, RN
• Cayla Graham
• Grand Canyon Psychiatric Services PLLC (Grand Canyon Psychiatric Services)
• Kaela Janelle Grant
• Alva Christina Gray
• Lisa L. Grittini

• In Home Supportive Care Agency in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.