GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION (NPI# 1609491182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609491182 |
| Entity Type | Organization |
| Organization Name | GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION |
| Practice Address |
405 E State Highway 121 Ste A Lewisville TX 75057-4787 |
| Mailing Address |
405 E State Highway 121 Building A, Suite A250 Lewisville TX 75057-4787 |
| Practice Telephone | 3373164129 |
| Mailing Telephone | 3373164129 |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | MR. AVERY D WILES (CEO) |
| Authorized Official Telephone | 3373164129 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GRACE ABBEY COMMUNITY DEVELOPMENT CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Other Name | Type Code |
|---|---|
| Guiding Grace | Doing Business As Name - Organization |
| Street Address |
405 E STATE HIGHWAY 121 STE A |
| City | LEWISVILLE |
| State | TX |
| Zip Code | 75057-4787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932681889 | Creekview Pharmacy LLC | Pharmacy | 880 Hebron Pkwy # 170, Lewisville, TX 75057 | 2018-09-06 |
| 1518450352 | Dorene Ebangha Etarock | Pediatrics | 860 Hebron Pkwy Ste 202, Lewisville, TX 75057 | 2018-06-06 |
| 1346691227 | Janet Swain | Registered Nurse | 860 Hebron Pkwy Ste 1101, Lewisville, TX 75057 | 2016-06-22 |
| 1124486204 | Gold Star Home Healthcare | Home Health | 960 E Hwy 121 Business, Lewisville, TX 75057 | 2016-02-04 |
| 1093173163 | Lifeview Counseling | Community/Behavioral Health | 751 Hebron Pkwy, Ste 320, Lewisville, TX 75057 | 2016-02-04 |
| 1376969766 | Kyle Nix | Chiropractor | 363 W. Main St., Lewisville, TX 75057 | 2014-03-10 |
| 1386082725 | Drew Alan Ratner | Orthopaedic Surgery | 500 W Main St Ste 260, Lewisville, TX 75057 | 2013-06-07 |
| 1194074377 | Cheryl Ann Rayl | Counselor | 401 E. Corporate Drive, Ste. 100, Lewisville, TX 75057 | 2012-09-05 |
| 1053669259 | Vikas Patel | Pharmacist | 880 Hebron Pkwy Ste 170, Lewisville, TX 75057 | 2012-08-17 |
| 1093043507 | Golden Triangle Anesthesia Services, PC | Nurse Anesthetist, Certified Registered | 591 W. Main St., Lewisville Surgery Center, Lewisville, TX 75057 | 2009-11-20 |
| Find all providers in zip 75057 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885692 | Guiding Grace LLC | Case Management | 405 State Highway 121, Ste A250, Lewisville, TX 75067 | 2020-06-15 |
| 1073793733 | Otilia F Efesoa | Case Management | 1517 Caymus Ct, Lewisville, TX 75067-3254 | 2007-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487816 | Total Restoration Behavioral Science and Counseling Center | Case Management | 9823 Brilliant Lake Dr, Humble, TX 77396-1570 | 2020-11-04 |
| 1609477157 | H.a.r Support Services, LLC | Case Management | 5608 Bellissima Way, Round Rock, TX 78665-2667 | 2020-11-02 |
| 1760081228 | Lighthouse Group Homes, LLC | Case Management | 2109 Quail Run Apt B, Mckinney, TX 75071-1013 | 2020-10-25 |
| 1760081715 | Valescere Spring Branch | Case Management | 10005 Lazy Oaks Dr, Houston, TX 77080 | 2020-10-21 |
| 1588263966 | Building Bridges With Love | Case Management | 611 Dairy Ashford Rd Apt 407, Houston, TX 77079-3925 | 2020-10-18 |
| 1720686959 | Enlightened Gems Home Healthcare, Inc. | Case Management | 6547 Beech Trail Dr, Converse, TX 78109-3373 | 2020-10-09 |
| 1114524584 | Kimberly Marie Pittard | Case Management | 3906 Figure Four Lake Ln, Richmond, TX 77406-8084 | 2020-10-07 |
| 1821605312 | Mmk Group of Texas | Case Management | 21510 Hales Hunt Ct, Spring, TX 77388-6952 | 2020-09-28 |
| 1104433853 | Amy Sanford | Case Management | 23770 Springwoods Village Pkwy Apt 258, Spring, TX 77373-5104 | 2020-09-28 |
| 1316554215 | A New Way of Life Mentoring Services | Case Management | 7601 Fm 1960 Rd E, Humble, TX 77346-2209 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | LEWISVILLE |
| Zip Code | 75057 |
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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.