Provider Demographics
NPI:1659067189
Name:NEW GRACE HOSPICE CARE INC.
Entity Type:Organization
Organization Name:NEW GRACE HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ODIACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-682-9299
Mailing Address - Street 1:9304 FOREST LN STE N266
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-6238
Mailing Address - Country:US
Mailing Address - Phone:972-437-0099
Mailing Address - Fax:214-594-8810
Practice Address - Street 1:9304 FOREST LN STE N266
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-6238
Practice Address - Country:US
Practice Address - Phone:214-682-9299
Practice Address - Fax:214-594-8810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-17
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health