Provider Demographics
NPI:1417254079
Name:CHERYL'S SAVING GRACE HOME CARE AGENCY
Entity Type:Organization
Organization Name:CHERYL'S SAVING GRACE HOME CARE AGENCY
Other - Org Name:SAVING GRACE HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-213-0064
Mailing Address - Street 1:2007 GLEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-3169
Mailing Address - Country:US
Mailing Address - Phone:281-208-1231
Mailing Address - Fax:281-261-6348
Practice Address - Street 1:2007 GLEN PARK DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3169
Practice Address - Country:US
Practice Address - Phone:281-208-1231
Practice Address - Fax:281-261-6348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care