GRACE RESIDENTIAL ENTERPRISES (NPI# 1093928533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093928533 |
| Entity Type | Organization |
| Organization Name | GRACE RESIDENTIAL ENTERPRISES |
| Other Organization Name | LEA FARMS RESIDENCE |
| Practice Address |
1318 Piedmont Dr Abilene TX 79601-5552 |
| Practice Telephone | 3256733397 |
| Practice Fax Number | 3256733397 |
| Mailing Telephone | 3256733397 |
| Mailing Fax Number | 3256733397 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. JEANENE P STRICKLAND (CEO) |
| Authorized Official Telephone | 3256733397 |
| Authorized Official Credential | MS,LPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 116790 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Lea Farms Residence | Doing Business As Name - Organization |
| Street Address |
1318 PIEDMONT DR |
| City | ABILENE |
| State | TX |
| Zip Code | 79601-5552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161022 | Hendrick Health Urgent Care | Clinic/Center | 820 E Ambler Ave, Abilene, TX 79601 | 2020-10-15 |
| 1396303285 | Hardin-simmons University | Counselor | 917 Lineberry Blvd, Abilene, TX 79601 | 2019-06-05 |
| 1053874446 | Pharmscript of West Texas LLC | Pharmacy | 2118 E Overland Trl, Abilene, TX 79601 | 2019-04-11 |
| 1720523475 | Orsburn House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3602 N Clack, Abilene, TX 79601 | 2017-01-04 |
| 1316480684 | Thaddee Uwimana | Nurse Practitioner | 1749 Pine Street, Abilene, TX 79601 | 2016-11-18 |
| 1760938484 | Maya Natori | Specialist/Technologist | 108 Teague, Box 27916 Special Events Center Acu, Abilene, TX 79601 | 2016-09-01 |
| 1588016042 | Chucky Okoh | Nurse Practitioner | 13055 Sm 3522, Abilene, TX 79601 | 2016-07-08 |
| 1730539354 | Billy Bible | Social Worker | 1418 Newcastle Drive, Abilene, TX 79601 | 2016-06-14 |
| 1366840605 | Totoe Medical Group, Pllc | Internal Medicine | 1850 Hickory St., Suite 105, Abilene, TX 79601 | 2014-12-19 |
| 1831591395 | Abilene Christian University | Clinic/Center | 845 Coliseum Way, Abilene, TX 79601 | 2014-09-16 |
| Find all providers in zip 79601 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871709543 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 A Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1114133873 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 2234 B Amy Lyn Avenue, Abilene, TX 79603 | 2007-05-16 |
| 1700099314 | Pueblo Residential Services Ltd | Intermediate Care Facility, Mentally Retarded | 1317 Lawyers Ln, Abilene, TX 79602-1912 | 2007-05-08 |
| 1871613893 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 634 Bacon Dr, Abilene, TX 79601-2051 | 2007-03-31 |
| 1043330061 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 2326 Brenda St, Abilene, TX 79606-1118 | 2007-03-31 |
| 1942320965 | Educare Comm Living Lmtd Partnership | Intermediate Care Facility, Mentally Retarded | 910 Parsons Rd, Abilene, TX 79602-3110 | 2007-03-31 |
| 1497875413 | Educare Community Living Limited Partnership | Intermediate Care Facility, Mentally Retarded | 1366 Highland Ave, Abilene, TX 79605-4251 | 2007-03-31 |
| 1427123173 | Hill Resources II Inc. | Intermediate Care Facility, Mentally Retarded | 1071 N Judge Ely Blvd, Abilene, TX 79601-3853 | 2006-11-21 |
| 1285709931 | Hill Resources Inc. | Intermediate Care Facility, Mentally Retarded | 1071 N Judge Ely Blvd # 6424, Abilene, TX 79601-3853 | 2006-11-21 |
| 1467567362 | Soma Resources, Inc. | Intermediate Care Facility, Mentally Retarded | 2449 S Willis St Ste 107, Abilene, TX 79605-6257 | 2006-08-20 |
| Find all providers in ABILENE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.