Provider Demographics
NPI:1821712407
Name:GRACE POINT HOME CARE LIMITED LIABILITY COMPANY
Entity Type:Organization
Organization Name:GRACE POINT HOME CARE LIMITED LIABILITY COMPANY
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCEWILL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-275-3431
Mailing Address - Street 1:8484 WILL CLAYTON PKWY STE C
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-5830
Mailing Address - Country:US
Mailing Address - Phone:281-819-5646
Mailing Address - Fax:281-231-2044
Practice Address - Street 1:9902 BRILLIANT LAKE DR
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-1571
Practice Address - Country:US
Practice Address - Phone:281-570-2252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care