Provider Demographics
NPI:1467505057
Name:PERRINO LLC.
Entity Type:Organization
Organization Name:PERRINO LLC.
Other - Org Name:GRACE'S HOUSE PERSONAL CARE HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FACILITY MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BELINDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:GRAVES
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:832-418-9208
Mailing Address - Street 1:11971 SWORDS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-1242
Mailing Address - Country:US
Mailing Address - Phone:832-418-9208
Mailing Address - Fax:832-249-6976
Practice Address - Street 1:5610 PERKINS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77020-4450
Practice Address - Country:US
Practice Address - Phone:713-673-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home