GRACE INDEPENDENT HOME CARE, INC. (NPI# 1245214873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245214873 |
| Entity Type | Organization |
| Organization Name | GRACE INDEPENDENT HOME CARE, INC. |
| Other Organization Name | ONESOURCE HOME CARE INC |
| Practice Address |
4002 Technology Ctr Longview TX 75605 |
| Mailing Address |
4002 Technology Ctr Longview TX 75605-2697 |
| Practice Telephone | 9032482530 |
| Practice Fax Number | 9032482538 |
| Mailing Telephone | 9032482530 |
| Mailing Fax Number | 9032482538 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | JOHN FORD (ADMINISTRATOR) |
| Authorized Official Telephone | 9032482530 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 007854 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUE CROSSBLUE SHIELD | HH565H | 01 |
| NPI | 1104147339 | 01 | |
| TX | 153380401 | 05 |
| Other Name | Type Code |
|---|---|
| OneSource Home Care Inc | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2615 E End Blvd S, Ste 200, Marshall, TX 756727425 | 9039271186 | 9039271189 |
| Street Address |
4002 TECHNOLOGY CTR |
| City | LONGVIEW |
| State | TX |
| Zip Code | 75605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596096 | Trent Eugene Gale | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2005-08-24 |
| 1528518339 | Frances Ridenour | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2016-10-05 |
| 1205258753 | Stacy Nicole Bratcher | Nurse Practitioner | 4002 Technology Ctr, Longview, TX 75605-2697 | 2014-01-16 |
| 1104147339 | Onesource Home Care, Inc. | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-06-22 |
| 1114240587 | Phynet, Inc | Home Health | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
| 1558684944 | Phynet, Inc | Clinic/Center | 4002 Technology Ctr, Longview, TX 75605-2697 | 2010-03-12 |
| 1144245176 | Phynet Inc | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-12 |
| 1386674711 | Ted Dawson Trimble | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-07-03 |
| 1780662643 | Wayne N Leeves | General Practice | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-01-02 |
| 1710974811 | Darrell A Bunch | Family Medicine | 4002 Technology Ctr, Longview, TX 75605-2697 | 2005-10-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
| 1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
| 1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
| 1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
| 1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
| 1316230139 | Traditions Hospice of Longview, LLC | Hospice Care, Community Based | 4362 N Us Hwy 259, Suite B, Longview, TX 75605 | 2011-05-26 |
| 1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
| 1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
| Find all providers in zip 75605 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134779119 | Gordon Jordan LLC | Home Health | 600 E Whaley St, Longview, TX 75601-6525 | 2019-09-12 |
| 1710543848 | Sequoia 4 Partners LLC | Home Health | 713 N 4th St Ste 1, Longview, TX 75601-5412 | 2019-05-14 |
| 1235637448 | Charity Slocum | Home Health | 105 E Twilight Dr, Longview, TX 75604-2036 | 2018-01-23 |
| 1386175040 | Encompass Home Health of East Texas, LLC | Home Health | 407 E. Methvin St, Suite 300a, Longview, TX 75601-7326 | 2017-03-24 |
| 1205234564 | Then Theres Cheerful Givers Hha Inc | Home Health | 204 Sierra Vista Ln, Longview, TX 75605-1221 | 2014-12-18 |
| 1205104270 | East Texas Careteam, Inc | Home Health | 4362 Us Highway 259 N, Longview, TX 75605-7674 | 2011-12-06 |
| 1770872749 | Accentcare Inc | Home Health | 3220 N 4th St, Longview, TX 75605-5143 | 2011-03-30 |
| 1699076349 | Bethany Hh of Longview | Home Health | 103 W. Loop 281, Suite 440, Longview, TX 75064 | 2010-11-11 |
| 1508036450 | Star Light Home Health | Home Health | 409 N Fredonia St, Suite 114, Longview, TX 75601-6466 | 2008-03-06 |
| 1396914412 | Kindstar, Inc. | Home Health | 2163 Gilmer Rd, #b, Longview, TX 75604-2583 | 2008-02-22 |
| Find all providers in LONGVIEW | ||||
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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.