Prevailing Grace, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

015461 Issued in TX

Legal business name

PREVAILING GRACE, LLC

Doing business as

Home Instead Senior Care

Practice address

900 8TH St
Suite 720
Wichita Falls, TX 76301-6801

Phone

(940) 322-4472

Fax

(940) 322-4475

NPI assigned

Jan 12, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Jo Oliver

Title

Owner

Phone

(940) 322-4472

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care Doing business as

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1952790131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 8TH ST",
            "address_2": "SUITE 720",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016801",
            "telephone_number": "940-322-4472",
            "fax_number": "940-322-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 8TH ST",
            "address_2": "SUITE 720",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016801",
            "telephone_number": "940-322-4472",
            "fax_number": "940-322-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVAILING GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-322-4472",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TX",
            "license": "015461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.