GRACE HEALTHCARE SERVICES INC – NPI #1902121809
Respite Care
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
GRACE HEALTHCARE SERVICES INC is a respite care facility located in VALDOSTA, GA. NPPES has assigned the NPI number 1902121809 to GRACE HEALTHCARE SERVICES INC on April 02, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MCDOUGLE PERSONAL CARE HOME INC. The primary taxonomy selected by this provider is 385HR2060X from the Health Care Provider Taxonomy code set, which is classified as Respite Care, specializing in Respite Care, Intellectual and/or Developmental Disabilities, Child
The NPI profile was previously updated about 7 years ago on Jan 10, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GRACE HEALTHCARE SERVICES INC below.
NPI Profile for
GRACE HEALTHCARE SERVICES INC
(more than 16 years ago)
VALDOSTA, GA 31601 Phone: (229) 469-4052 Fax: (229) 588-4039
CEO
Phone: (229) 269-8880
Identifiers for GRACE HEALTHCARE SERVICES INC
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | PERSONAL CARE PERMIT NO | GA | 092-01-106-1 |
| OTHER | PROVIDER ID NUMBER | GA | 372083530A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 385HR2060X - Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child (Primary) |
GA | 372083530A |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.