Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GRACE INDEPENDENT HOME CARE, INC.
Active
Organization
GRACE INDEPENDENT HOME CARE, INC.
Active
Other names
OneSource Home Care Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FORD (ADMINISTRATOR)
(903) 248-2530
Entity
Organization
Contact information
Practice address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605
(903) 248-2530
(903) 248-2538
Mailing address
4002 TECHNOLOGY CTR, LONGVIEW, TX 75605-2697
(903) 248-2530
(903) 248-2538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
007854
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104147339
NPI
—
05
—
153380401
—
TX
01
—
HH565H
BLUE CROSSBLUE SHIELD
TX
Enumeration date
12/06/2005
Last updated
08/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up