Grace Personal Care Service, Inc in Gallup - Personal Care Attendant
Grace Personal Care Service, Inc - NPI 1164638565
Grace Personal Care Service, Inc is a Personal Care Attendant in Gallup, New Mexico. Grace Personal Care Service, Inc practices all healthcare services and medical treatments related to Personal Care Attendant. The NPI Number for Grace Personal Care Service, Inc is 1164638565. The last update date is 2012-07-27.
Grace Personal Care Service, Inc's current location address is 1613 South 2nd Street, Gallup, New Mexico. You can contact this provider via phone number 5058635898 and fax number 5058964513. The mailing address for Grace Personal Care Service, Inc is 1613 South 2nd Street, Gallup, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace Personal Care Service, Inc |
|---|---|
| Address | 1613 South 2nd Street, Gallup, New Mexico |
| Phone Number | 5058635898 |
| Fax Number | 5058964513 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Crider Tom |
| Telephone Number | 5058635898 |
NPI Number Detail
| NPI Number | 1164638565 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2012-07-27 |
Provider Mailing Address Detail
| Address | 1613 South 2nd Street |
|---|---|
| City | Gallup |
| State | New Mexico (NM) |
| Post Code | 573015816 |
| Phone Number | 5058635898 |
| Fax Number | 5058964513 |
Provider's Primary Taxonomy Detail
| Speciality | Personal Care Attendant |
|---|---|
| Taxonomy | 3747P1801X |
|
Definition: An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79382363 | NM | -- |
Post Comment/ Review Below
What is the Grace Personal Care Service, Inc's 1164638565?
The Grace Personal Care Service, Inc's NPI (National Provider Identifier) Number is 1164638565. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Grace Personal Care Service, Inc's facilities are situated?
The facilities of Grace Personal Care Service, Inc are physically located at the following address: 1613 South 2Nd Street, Gallup, NM, 573015816.
What is Grace Personal Care Service, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Grace Personal Care Service, Inc is Personal Care Attendant, and the taxonomy code that categorizes this field of expertise is 3747P1801X.
On what date did the Grace Personal Care Service, Inc receive the assignment of its 1164638565 from the Centers for Medicare & Medicaid Services?
The Grace Personal Care Service, Inc was issued its 1164638565 by the Centers for Medicare & Medicaid Services on 2007-05-15.
When was the information pertaining to Grace Personal Care Service, Inc most recently updated or revised?
The details related to Grace Personal Care Service, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2012-07-27.
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