Provider Demographics
NPI:1427562545
Name:GRACE HOME CARE, INC.
Entity Type:Organization
Organization Name:GRACE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DIPENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIWARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-539-6306
Mailing Address - Street 1:7721 WOOD DUCK WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40218-4181
Mailing Address - Country:US
Mailing Address - Phone:502-785-4123
Mailing Address - Fax:502-398-6340
Practice Address - Street 1:7721 WOOD DUCK WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40218-4181
Practice Address - Country:US
Practice Address - Phone:502-785-4123
Practice Address - Fax:502-398-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty