Provider Demographics
NPI:1407803976
Name:BETHANY GRACE HOME CARE INC
Entity Type:Organization
Organization Name:BETHANY GRACE HOME CARE INC
Other - Org Name:BETHANY GRACE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-674-8743
Mailing Address - Street 1:720 DANDELION DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-7526
Mailing Address - Country:US
Mailing Address - Phone:214-674-8743
Mailing Address - Fax:
Practice Address - Street 1:720 DANDELION DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-7526
Practice Address - Country:US
Practice Address - Phone:214-674-8743
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health