Graceland Personal Care Homes, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACELAND PERSONAL CARE HOMES, INC

Practice address

2625 County Road 302
Carthage, TX 75633-4103

Phone

(903) 694-9290

Fax

(903) 693-9617

NPI assigned

Feb 20, 2017

Last updated

Sep 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bobby R Williams Sr.

Title

President/Owner/Director

Phone

(903) 692-1976

Specialties & licenses 1

Addresses

Other names 1

• Carries Assisted Living Home Other name

Tax ID family

Carries Assisted Living Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Graceland Personal Care Homes, Inc

  • Assisted Living Facility
  • Carthage, TX
  • NPI 1699985432
  NPD tax ID

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

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1891234134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "address_2": "2625 CR 302",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756330329",
            "telephone_number": "903-694-9290",
            "fax_number": "903-693-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 COUNTY ROAD 302",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756334103",
            "telephone_number": "903-694-9290",
            "fax_number": "903-693-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND PERSONAL CARE HOMES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/DIRECTOR",
        "authorized_official_telephone_number": "903-692-1976",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carries Assisted Living Home",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Carries Assisted Living Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Golden Eye Central, PLLC
• Dennis D Golden Sr., OD
• Govathoti MD Services PLLC (Deepti Govathoti MD)
• Deepti A Govathoti, MD
• Graceland Personal Care Homes, Inc
• William Harold Hammons, DDS
• Katelyn Hanson
• John A Hernandez
• Joel Don Hill, D.C.
• Louie Royce Hill, M.D.

• Assisted Living Facility in Carthage, TX
• Providers in Carthage, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.