GRACE SERVICES, LLC (NPI# 1013336627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013336627 |
| Entity Type | Organization |
| Organization Name | GRACE SERVICES, LLC |
| Other Organization Name | GRACE HEALTH SERVICES |
| Practice Address |
2 Worth Cir Suite 2 Johnson City TN 37601-4306 |
| Practice Telephone | 4232834958 |
| Practice Fax Number | 4232837135 |
| Mailing Telephone | 4232834958 |
| Mailing Fax Number | 4232837135 |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2014-04-10 |
| Authorized Official Name | MR. GORDON E COBURN (OWNER) |
| Authorized Official Telephone | 4232834958 |
| Authorized Official Credential | APRN-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
11054 | TN | Nursing Service Providers |
| Other Name | Type Code |
|---|---|
| Grace Health Services | Doing Business As Name - Organization |
| Street Address |
2 WORTH CIR SUITE 2 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-4306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184852295 | Community Chiropractic Clinic LLC | Chiropractor | 2 Worth Cir, Suite 3, Johnson City, TN 37601-4304 | 2009-06-26 |
| 1841695244 | Help At Home, Inc | Home Health | 2 Worth Cir, Suite 1, Johnson City, TN 37601-4304 | 2014-10-28 |
| 1669716577 | Help At Home, Tennessee | In Home Supportive Care | 2 Worth Cir, Ste 1, Johnson City, TN 37601-4304 | 2012-11-15 |
| 1508115387 | Deborah Mays Butler | Counselor | 2 Worth Cir, Suite #2, Johnson City, TN 37601-4304 | 2012-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891295481 | Gregory T Tipton | Registered Nurse | 302 Sunset Dr Ste 105, Johnson City, TN 37604-2408 | 2018-02-20 |
| 1689299919 | Crystal B Ashley | Registered Nurse | 208 E Unaka Ave, Johnson City, TN 37601-4626 | 2020-06-12 |
| 1952948978 | Lydia Powers | Registered Nurse | 208 E Unaka Ave, Johnson City, TN 37601-4626 | 2019-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669958708 | Paulinus Nwaija | Registered Nurse | 730 Huntington Pkwy, Nashville, TN 37211-5919 | 2018-07-12 |
| 1922592229 | Samantha Thompson | Registered Nurse | 3308 Blaze Dr, Murfreesboro, TN 37128-3878 | 2018-06-20 |
| 1588165112 | Cara Victoria Jill Mcmahan | Registered Nurse | 310 W 3rd N Street, Morristown, TN 37814 | 2018-02-28 |
| 1699294595 | Charlene L. Donovan | Registered Nurse | 1283 Murfreesboro Pike Ste 500, Nashville, TN 37217-2421 | 2017-09-12 |
| 1588181861 | Kayla Ashley West | Registered Nurse | 223 Madison St Ste 103, Madison, TN 37115-3660 | 2017-08-27 |
| 1629509369 | Sommer Wright | Registered Nurse | 1128 Radmoor Ln, Chattanooga, TN 37421-4048 | 2017-03-24 |
| 1053795518 | Charles Olsen | Registered Nurse | 307 Devonia St, Harriman, TN 37748-2008 | 2015-07-15 |
| 1518238708 | Barbara J Howard | Registered Nurse | 736 Jessica Taylor Dr, Madison, TN 37115-5580 | 2012-01-19 |
| 1235449398 | Onochie Nnodu | Registered Nurse | 2350 Mccampbell Wells Way, Knoxville, TN 37924-3128 | 2010-10-07 |
| 1770817819 | Brenda M Mccrary | Registered Nurse | 1120 Tammbell St, Brownsville, TN 38012-1611 | 2009-09-22 |
| Find all providers with the same taxonomy | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.