GOOD GRACE PROVIDER SERVICE (NPI# 1417308966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417308966 |
| Entity Type | Organization |
| Organization Name | GOOD GRACE PROVIDER SERVICE |
| Practice Address |
15155 Richmond Ave Apt 833 Houston TX 77082-1637 |
| Mailing Address |
15155 Richmond Ave Apt 833 Houston TX 77082 |
| Practice Telephone | 8328905451 |
| Practice Fax Number | 8322102210 |
| Mailing Telephone | 8328905451 |
| Mailing Fax Number | 8322102210 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |
| Authorized Official Name | CYNTHIA MARIA GONZALEZ (OWNER) |
| Authorized Official Telephone | 8328905451 |
| Authorized Official Credential | CMG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251T00000X | PACE Provider Organization | Agencies |
| Street Address |
15155 RICHMOND AVE APT 833 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77082-1637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1083247571 | Long Tran | Pharmacist | 15842 Clayton Bend Dr, Houston, TX 77082 | 2020-02-13 |
| 1023599412 | Lori Friedman | Physical Therapy Assistant | 3625 Green Crest, Houston, TX 77082 | 2018-08-24 |
| 1548768187 | Ashford Pharmacy Inc. | Pharmacy | 3751 S Dairy Ashford Rd # 102, Houston, TX 77082 | 2018-01-29 |
| 1033625850 | Sarita E Smalley | Chiropractor | 11301 Richmond Ave., Suite K103, Houston, TX 77082 | 2017-12-15 |
| 1366972002 | Tangela Rene Woodland-ballard | Nurse Practitioner | 3751 S. Dairy Ashford Road, Houston, TX 77082 | 2017-06-15 |
| 1730623273 | Global Retel Investments Inc | Home Health | 4018 Green Crest Drive, 4018 Green Crest Drive, Houston, TX 77082 | 2016-12-16 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| 1598141962 | Havilla Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13433 Garden Grove, Houston, TX 77082 | 2015-08-07 |
| 1376895565 | Humera Yazdani | Dentist | 2703 South Hwy 6, Suite 147, Houston, TX 77082 | 2012-10-11 |
| Find all providers in zip 77082 | ||||
| Taxonomy Code | 251T00000X |
| Grouping | Agencies |
| Classification | PACE Provider Organization |
| 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. |
| Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710331913 | Heritage Developmental Care LLC | PACE Provider Organization | 9465 Clearwood Dr, Apt 324, Houston, TX 77075-4059 | 2016-04-14 |
| 1215482070 | Larue Home Health Care Service | PACE Provider Organization | 5250 Brownway St, Apt 1916, Houston, TX 77056-4932 | 2016-08-22 |
| 1710378914 | Care By Your Side Delivery Service | PACE Provider Organization | 10555 Turtlewood Ct, 1112, Houston, TX 77072-2700 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212961 | Gregory Wayne Mcafee Jr. | PACE Provider Organization | 7216 Mallard Dr, Texas City, TX 77591-3616 | 2019-12-17 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1700373966 | Nathalia White Shanetta White | PACE Provider Organization | 240 W Galveston St Unit 417, League City, TX 77574-0849 | 2018-04-13 |
| 1942717012 | Wayfinders Day Habilitations & Respite Care | PACE Provider Organization | 4611 W Walnut St, Pearland, TX 77581-3967 | 2018-01-10 |
| 1154833184 | Operation Advantage Inc. | PACE Provider Organization | 2747 Point Vw, Cedar Hill, TX 75104-6936 | 2017-10-31 |
| 1275069478 | Jeffrey Joe Young | PACE Provider Organization | 2129 Green Lee Lane, Dickinson, TX 77539-5152 | 2017-05-08 |
| 1174971865 | Genuine Queens Jcl Care | PACE Provider Organization | 3730 S Loop 1604 E, San Antonio, TX 78264-9551 | 2016-06-03 |
| 1184072118 | Philia Interpreting Agency | PACE Provider Organization | 701 Mesquite St, Abilene, TX 79601-5220 | 2016-05-31 |
| 1821465204 | Affordable Venture Home Healthcare LLC | PACE Provider Organization | 8626 Tesoro Dr Ste 205g, San Antonio, TX 78217-6217 | 2015-09-01 |
| 1568870210 | Donna Sitting Service LLC | PACE Provider Organization | 822 Lexington Dr, Lancaster, TX 75134-2412 | 2014-07-25 |
| Find all providers with the same taxonomy | ||||
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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.