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GOOD GRACE PROVIDER SERVICE NPI 1417308966


NPI Information

NPI: 1417308966
Provider Name: GOOD GRACE PROVIDER SERVICE
Classification: Program of All-Inclusive Care for the Elderly (PACE) Provider Organization - 251T00000X
Entity Type: Organization
Address:
15155 RICHMOND AVE APT 833
HOUSTON, TX
ZIP 77082
Phone: (832) 890-5451
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GOOD GRACE PROVIDER SERVICE is a program of all inclusive care for the elderly pace provider organization in Houston, TX. The provider is a PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights. GOOD GRACE PROVIDER SERVICE NPI is 1417308966. The provider is registered as an organization entity type.

The provider's business location address is:

15155 RICHMOND AVE APT 833
HOUSTON, TX
ZIP 77082-637
Phone: (832) 890-5451
Fax: (832) 210-2210

The provider's authorized official is Cynthia Maria Gonzalez .
The authorized official title is Owner and has the following contact phone number (832) 890-5451.

The enumeration date for this NPI number is 6/27/2016 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251T00000XProgram of All-Inclusive Care for the Elderly (PACE) Provider OrganizationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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