Grace Haven Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GRACE HAVEN CARE LLC

Practice address

507 Pine St
Landis, NC 28088-2123

Phone

(704) 237-0726

NPI assigned

Aug 21, 2026

Last updated

Aug 21, 2026By 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

Thurshell Gray, RN

Title

Coo

Phone

(704) 237-0726

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1912813718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PINE ST",
            "city": "LANDIS",
            "state": "NC",
            "postal_code": "280882123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PINE ST",
            "city": "LANDIS",
            "state": "NC",
            "postal_code": "280882123",
            "telephone_number": "704-237-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "THURSHELL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "704-237-0726",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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