GRACELAND PERSONAL CARE HOMES, INC (NPI# 1699985432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699985432 |
| Entity Type | Organization |
| Organization Name | GRACELAND PERSONAL CARE HOMES, INC |
| Practice Address |
1315 Spring St 2625 Cr 302 Carthage TX 75633-2061 |
| Mailing Address |
Po Box 329 2625 Cr 302 Carthage TX 75633-0329 |
| Practice Telephone | 9036939617 |
| Practice Fax Number | 9036949191 |
| Mailing Telephone | 9036939617 |
| Mailing Fax Number | 9036949191 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BOBBY R WILLIAMS (PRESIDENT) |
| Authorized Official Telephone | 9036921976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 030117 | TX | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891234134 | Graceland Personal Care Homes, Inc | Community Based Residential Treatment Facility, Mental Illness | 2625 County Road 302, Carthage, TX 75633-4103 | 2017-02-20 |
| Street Address |
1315 SPRING ST 2625 CR 302 |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-2061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568731123 | Yolanda W. Williams | Dietitian, Registered | 1315 Spring St, Carthage, TX 75633-2061 | 2011-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1770666208 | Prakash Malviya | Pediatrics | 409 Cottage Road, Etmc, Carthage, TX 75633 | 2006-10-20 |
| 1457448011 | Johnny Edwin Majors | Dentist | 103 North Sycamore, Carthage, TX 75633 | 2006-10-06 |
| 1740374164 | Clayton H. Brakeville | Physical Therapist | 107 S. Daniels St, Carthage, TX 75633 | 2006-10-02 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1770685059 | Tom M Jones | Dentist | 311 West Sabine, Carthage, TX 75633 | 2006-09-05 |
| 1124037031 | Izzy Inc | Durable Medical Equipment & Medical Supplies | 106 N Shelby St, Carthage, TX 75633 | 2006-08-07 |
| 1699705756 | Iraj Roshan | Internal Medicine | 1519 W Panola St, Carthage, TX 75633 | 2006-07-04 |
| 1073504437 | Charles Deron Lewis | Durable Medical Equipment & Medical Supplies | 310 N Adams Street, Carthage, TX 75633 | 2005-11-03 |
| 1538157300 | Slp Carthage LLC | Skilled Nursing Facility | 701 S Market St, Carthage, TX 75633 | 2005-10-06 |
| Find all providers in zip 75633 | ||||
| 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 |
|---|---|---|---|---|
| 1740725340 | Hancock County Senior Services | Assisted Living Facility | 404 S Adams Street, Carthage, IL 62321 | 2017-01-05 |
| 1598197279 | Meadow Brook Terrace | Assisted Living Facility | 21957 Cole Rd, Carthage, NY 13619-9622 | 2013-08-05 |
| 1841431913 | Hancock County Supportive Living | Assisted Living Facility | 400 S Adams Street, Carthage, IL 62321 | 2009-03-18 |
| 1508039348 | Assisted Living Concepts Inc | Assisted Living Facility | 513 North Adams, Carthage, TX 75633 | 2008-04-11 |
| 1811168149 | Farleys, Inc. | Assisted Living Facility | 17562 Imperial Rd, Carthage, MO 64836-8753 | 2008-03-14 |
| 1417163056 | Bristol Care, Inc. | Assisted Living Facility | 2131 S River St, Carthage, MO 64836-3350 | 2007-05-14 |
| 1982799029 | Tara Plantation of Carthage, LLC | Assisted Living Facility | 820 S. Mcneill Street, Carthage, NC 28327 | 2006-10-04 |
| 1841390002 | Carthage Healthcare Inc. | Assisted Living Facility | 801 Pinehurst Ave, Carthage, NC 28327-9338 | 2006-09-25 |
| 1568419364 | Carthage Resdeintal, LLC | Assisted Living Facility | 2510 Clinton St, Carthage, MO 64836-3427 | 2006-05-27 |
| 1891156808 | Hancock County Senior Services Association | Assisted Living Facility | 402 S Adams St, Carthage, IL 62321-1600 | 2016-03-18 |
| Find all providers in CARTHAGE | ||||
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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.