Provider Demographics
NPI:1265288666
Name:GRACEHEALTH SENIOR HOMES LLC
Entity type:Organization
Organization Name:GRACEHEALTH SENIOR HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GICHARU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:913-388-3893
Mailing Address - Street 1:700 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-4008
Mailing Address - Country:US
Mailing Address - Phone:913-388-3893
Mailing Address - Fax:
Practice Address - Street 1:700 W ELM ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-4008
Practice Address - Country:US
Practice Address - Phone:913-388-3893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home