Provider Demographics
NPI:1629758768
Name:GRACE POINT HOME CARE LLC
Entity Type:Organization
Organization Name:GRACE POINT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISBON
Authorized Official - Middle Name:OWUSU
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-721-6369
Mailing Address - Street 1:3103 E CALGARY AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-1340
Mailing Address - Country:US
Mailing Address - Phone:131-272-1636
Mailing Address - Fax:
Practice Address - Street 1:3103 E CALGARY AVE APT 301
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-1340
Practice Address - Country:US
Practice Address - Phone:131-272-1636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty