Grace Visiting Nurses and Home Health Services Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

003045 Issued in TX

Legal business name

GRACE VISITING NURSES AND HOME HEALTH SERVICES INC

Practice address

111 Cash St
Jacksonville, TX 75766

Phone

(903) 586-9485

Fax

(903) 586-8462

NPI assigned

Mar 3, 2006

Organization subpart

No

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

Authorized official

Name

Aubrey D Keith

Title

Owner/Ceo

Phone

(903) 586-9485

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Texas Home Health Skilled Services, L.P.

  • Home Health Agency
  • Weatherford, TX
  • NPI 1154857803

  Sold to, 2017-05-31

  CMS change of ownership

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1932176351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1190",
            "address_2": "111 CASH ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-586-9485",
            "fax_number": "903-586-8462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CASH ST",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "75766",
            "telephone_number": "903-586-9485",
            "fax_number": "903-586-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE VISITING NURSES AND HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-586-9485"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "003045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117830-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HH9155",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Steven Glass, D.D.S.
• Leslie Z Glover, LPC
• Amber Goldman
• Matthew Goldman, PTA
• Grace Rental Inc.
• Grace Visiting Nurses and Home Health Services, Inc.
• Grace Visiting Nurses and Home Health Services, Inc.
• Graceful Care Management LLC
• Damarion Greenwood, RN
• Gregory M Stirneman DPM PA

• Home Health Agency in Jacksonville, TX
• Providers in Jacksonville, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.