Provider Demographics
NPI:1932532736
Name:GRACE HOME CARE INCORPORATED
Entity Type:Organization
Organization Name:GRACE HOME CARE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:HELEN
Authorized Official - Last Name:DAULPHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:774-261-2310
Mailing Address - Street 1:51 UNION ST
Mailing Address - Street 2:SUITE 312
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01608-1194
Mailing Address - Country:US
Mailing Address - Phone:508-926-8582
Mailing Address - Fax:
Practice Address - Street 1:51 UNION ST
Practice Address - Street 2:SUITE 312
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-1194
Practice Address - Country:US
Practice Address - Phone:508-926-8582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-15
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health