Provider Demographics
NPI:1285659979
Name:GRACE TO YOU HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:GRACE TO YOU HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANIEMA
Authorized Official - Middle Name:U
Authorized Official - Last Name:UMOH
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:972-242-8995
Mailing Address - Street 1:1611 N INTERSTATE 35E
Mailing Address - Street 2:SUITE 416
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-3885
Mailing Address - Country:US
Mailing Address - Phone:972-242-8995
Mailing Address - Fax:972-446-3320
Practice Address - Street 1:1611 N INTERSTATE 35E
Practice Address - Street 2:SUITE 416
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-3885
Practice Address - Country:US
Practice Address - Phone:972-242-8995
Practice Address - Fax:972-446-3320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008908251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
453178Medicare ID - Type Unspecified