Provider Demographics
NPI:1952172454
Name:BY GRACE IN-HOME CARE LLC
Entity type:Organization
Organization Name:BY GRACE IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-245-7033
Mailing Address - Street 1:7950 SOUTHEASTERN AVE UNIT 39598
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-3930
Mailing Address - Country:US
Mailing Address - Phone:317-245-7033
Mailing Address - Fax:317-245-7070
Practice Address - Street 1:10544 DUNES CT
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-9769
Practice Address - Country:US
Practice Address - Phone:317-245-7033
Practice Address - Fax:317-245-7070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care