Thy Grace Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THY GRACE CARE LLC

Doing business as

THY GRACE CARE 2

Practice address

37728 W San Capistrano Ave
Maricopa, AZ 85138-5422

Phone

(614) 432-4351

NPI assigned

Jul 8, 2024

Organization subpart

Yes

Parent organization

THY GRACE CARE LLCAs reported in NPPES

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

Authorized official

Name

Grace GyanNPI 1255084190

Title

Owner/Administrator

Phone

(614) 432-4351

Specialties & licenses 1

Addresses

Other names 1

• THY GRACE CARE 2 Doing business as

Part of

Thy Grace Care LLC

Practitioners 1

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

• Grace Gyan

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Maricopa, AZ
  • NPI 1255084190
  NPD Authorized official

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730592000000",
    "number": "1982440962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36019 W SAN CLEMENTE AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382118",
            "telephone_number": "614-432-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37728 W SAN CAPISTRANO AVE",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851385422",
            "telephone_number": "614-432-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THY GRACE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THY GRACE CARE LLC",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "GYAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "614-432-4351"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THY GRACE CARE 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tori Caley Thompson, PTA
• Kathleen Thomsen-Grover
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• Thoughts in Mind, PLLC
• Thrive Assisted Home Care, LLC
• Barbara Elaine Tilben, DO
• Desiree Tilbury
• Mushina Tillman
• Nshea Tillman, MS
• Kaelyn Tkacik, PA-C

• Mental Illness Community Based Residential Treatment Facility in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2024; 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.