Provider Demographics
NPI:1295365799
Name:GRACIA HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:GRACIA HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:
Authorized Official - Last Name:TOCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-903-1965
Mailing Address - Street 1:2314 WOODGLEN DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-1123
Mailing Address - Country:US
Mailing Address - Phone:972-903-1965
Mailing Address - Fax:800-901-4794
Practice Address - Street 1:2314 WOODGLEN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-1123
Practice Address - Country:US
Practice Address - Phone:972-903-1965
Practice Address - Fax:800-901-4794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty