GRACELAND ASSISTED LIVING (NPI# 1508025099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508025099 |
| Entity Type | Organization |
| Organization Name | GRACELAND ASSISTED LIVING |
| Practice Address |
19095 Fm 2252 Garden Ridge TX 78266-2733 |
| Practice Telephone | 2106516377 |
| Practice Fax Number | 2106510957 |
| Mailing Telephone | 2106516377 |
| Mailing Fax Number | 2106510957 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Authorized Official Name | MR. TONY OVERMAN (OWNER) |
| Authorized Official Telephone | 2106514796 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 112410 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | ALF LICENSE # | 112410 | 01 |
| Street Address |
19095 FM 2252 |
| City | GARDEN RIDGE |
| State | TX |
| Zip Code | 78266-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518438217 | Loving The Care Given Home Health LLC | Home Infusion | 7990 Jethro Ln, San Antonio, TX 78266 | 2018-12-07 |
| 1699207787 | Christina Ashby | Social Worker | 19115 Old F-m 2252, Suite #12, San Antonio, TX 78266 | 2017-03-29 |
| 1316235658 | Angela Gallo Garcia | Contractor | 18945 Fm 2252 Suite 115, Garden Ridge, TX 78266 | 2011-07-20 |
| 1609179159 | Verisha Virginia Dixon | Military Health Care Provider | 81945 Fm 2252 Ste 115, Cheroke Medical Services, Garden Ridge, TX 78266 | 2010-12-06 |
| 1497939342 | Marjorie Consuelo Rodriguez | Nurse's Aide | 18945 Fm 2252 Fleet 115, Gardenridge, TX 78266 | 2007-12-27 |
| 1245454461 | Stepping Forward Christian Counseling | Counselor | 19115 Fm 2252 Suite 15, Garden Ridge, TX 78266 | 2007-04-11 |
| 1659316537 | Kelly S Zentner | Counselor | 19115 Fm 2252 Ste 15, Garden Ridge, TX 78266 | 2006-06-17 |
| 1104343805 | Jacy Ann Palmitier | Counselor | 19115 Fm 2252 Suite 15, Garden Ridge, TX 78266 | 2017-08-24 |
| 1154865988 | Out of The Box Counseling, LLC | Counselor | 19115 Fm 2252, Suite 15, Garden Ridge, TX 78266 | 2016-12-13 |
| 1184168593 | Shauna Renee Markowski-schmidt | Counselor | 19115 Fm 2252, Suite 15, Garden Ridge, TX 78266 | 2016-12-05 |
| Find all providers in zip 78266 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507690 | Bolville LLC | Assisted Living Facility | 9898 Bissonnet St Ste 419, Houston, TX 77036-8025 | 2020-10-30 |
| 1548860067 | Zenith Care Inc | Assisted Living Facility | 1513 Baffin Bay Dr, Plano, TX 75075-2203 | 2020-10-26 |
| 1003415712 | Valarie C Williams | Assisted Living Facility | 2019 Greenwest Dr, Missouri City, TX 77489-4043 | 2020-10-23 |
| 1902404791 | Heritage Retreat Management Group, Inc. | Assisted Living Facility | 7105 Hot Creek Trce, Humble, TX 77346-3098 | 2020-10-13 |
| 1255939104 | Rance Carrington | Assisted Living Facility | 1137 W California St, Seymour, TX 76380-1552 | 2020-10-13 |
| 1083212211 | Neighbors Care, LLC | Assisted Living Facility | 3906 Everett Terrace Ln, Missouri City, TX 77459-1888 | 2020-10-10 |
| 1598362840 | Golden Age Home Care | Assisted Living Facility | 12706 Mutiny Ln, Tomball, TX 77377-8420 | 2020-10-08 |
| 1164038253 | Residential Senior Care (rsc) | Assisted Living Facility | 8040 Honeywood Trial, Port Arthur, TX 77642 | 2020-09-23 |
| 1548874670 | A Compassionate Assisted Living LLC | Assisted Living Facility | 1008 Springbrook Dr, Desoto, TX 75115-3944 | 2020-09-04 |
| 1679187975 | Arc Willowbrook, LLC | Assisted Living Facility | 7450 Willow Chase Blvd, Houston, TX 77070-5867 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN RIDGE |
| Zip Code | 78266 |
Please comment or provide details below to improve the information on GRACELAND ASSISTED LIVING.
| 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.