Provider Demographics
NPI:1023702248
Name:SONS OF GRACE CARE SERVICES, LLC
Entity type:Organization
Organization Name:SONS OF GRACE CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAPFUNDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-816-6006
Mailing Address - Street 1:6470 LITHOPOLIS RD STE A
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9680
Mailing Address - Country:US
Mailing Address - Phone:614-816-6006
Mailing Address - Fax:
Practice Address - Street 1:6470 LITHOPOLIS RD STE A
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9680
Practice Address - Country:US
Practice Address - Phone:614-816-6006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-08
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child