Provider Demographics
NPI:1366500902
Name:A TOUCH OF GRACE INC
Entity Type:Organization
Organization Name:A TOUCH OF GRACE INC
Other - Org Name:A TOUCH OF GRACE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:QP
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASEEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-867-9754
Mailing Address - Street 1:7028 KITTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1265
Mailing Address - Country:US
Mailing Address - Phone:910-867-9754
Mailing Address - Fax:910-867-4600
Practice Address - Street 1:120 WESTLAKE RD
Practice Address - Street 2:SUITE 1
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-4451
Practice Address - Country:US
Practice Address - Phone:910-867-9754
Practice Address - Fax:910-867-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X, 1041C0700X, 106H00000X, 251B00000X, 251J00000X, 251S00000X, 253Z00000X, 332B00000X, 332U00000X, 333300000X, 385H00000X
NCFCL-026-002251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty
No332U00000XSuppliersHome Delivered MealsGroup - Multi-Specialty
No333300000XSuppliersEmergency Response System Companies
No385H00000XRespite Care FacilityRespite Care