Provider Demographics
NPI:1225614415
Name:GOD'S GRACE FOR SENIORS, LLC
Entity Type:Organization
Organization Name:GOD'S GRACE FOR SENIORS, LLC
Other - Org Name:CARING SENIOR SERVICE OF RALEIGH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SEARCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-847-0010
Mailing Address - Street 1:5630 SIX FORKS RD STE 203
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-3898
Mailing Address - Country:US
Mailing Address - Phone:919-847-0010
Mailing Address - Fax:919-551-3563
Practice Address - Street 1:5630 SIX FORKS RD STE 203
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3898
Practice Address - Country:US
Practice Address - Phone:919-847-0010
Practice Address - Fax:919-551-3563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-19
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care