GRACELAND PERSONAL CARE HOMES, INC (NPI# 1891234134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891234134 |
| Entity Type | Organization |
| Organization Name | GRACELAND PERSONAL CARE HOMES, INC |
| Other Organization Name | CARRIES ASSISTED LIVING HOME |
| Practice Address |
2625 County Road 302 Carthage TX 75633-4103 |
| Mailing Address |
Po Box 329 2625 Cr 302 Carthage TX 75633-0329 |
| Practice Telephone | 9036949290 |
| Practice Fax Number | 9036939617 |
| Mailing Telephone | 9036949290 |
| Mailing Fax Number | 9036939617 |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MR. BOBBY R WILLIAMS SR. (PRESIDENT/OWNER/DIRECTOR) |
| Authorized Official Telephone | 9036921976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 144693 | TX | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Carries Assisted Living Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699985432 | Graceland Personal Care Homes, Inc | Assisted Living Facility | 1315 Spring St, 2625 Cr 302, Carthage, TX 75633-2061 | 2007-05-23 |
| Street Address |
2625 COUNTY ROAD 302 |
| City | CARTHAGE |
| State | TX |
| Zip Code | 75633-4103 |
| 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 | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778410 | Inspired Community Living | Community Based Residential Treatment Facility, Mental Illness | 1108 Millspaugh St, San Angelo, TX 76901-2342 | 2020-07-27 |
| 1265058143 | Bam House | Community Based Residential Treatment Facility, Mental Illness | 9710 Military Pkwy Apt 136, Dallas, TX 75227-4801 | 2020-06-17 |
| 1699394320 | Thaddeus Gibson | Community Based Residential Treatment Facility, Mental Illness | 15638 Western Skies Dr, Houston, TX 77086-1169 | 2020-04-13 |
| 1346875705 | Grace Caring Angels Inc. | Community Based Residential Treatment Facility, Mental Illness | 11515 Chariot Dr, Stafford, TX 77477-1214 | 2020-03-05 |
| 1992340541 | Abegail Human Services | Community Based Residential Treatment Facility, Mental Illness | 230 Hackney Dr, Waxahachie, TX 75165-1202 | 2019-11-07 |
| 1073098075 | Expert Living Services Inc | Community Based Residential Treatment Facility, Mental Illness | 17014 Blue Mist Dr, Sugar Land, TX 77498-1957 | 2018-09-26 |
| 1760961734 | Sharion Lenese White | Community Based Residential Treatment Facility, Mental Illness | 12514 Berry Laurel Lane, Houston, TX 77014 | 2018-08-10 |
| 1356837934 | X'zavier O Payne | Community Based Residential Treatment Facility, Mental Illness | 420 N State Highway 360 Apt 2214, Mansfield, TX 76063-8716 | 2018-07-06 |
| 1972003192 | Ateam & Associates, LLC | Community Based Residential Treatment Facility, Mental Illness | 7 Supiro Dr, Manvel, TX 77578-3378 | 2018-02-14 |
| 1427591494 | Mia Davis | Community Based Residential Treatment Facility, Mental Illness | 5903 Grace Ln, Houston, TX 77021-3424 | 2016-11-23 |
| 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.