Organization
MOUNTAIN OF GRACE HOMEHEALTH,LLC
Active
Other names
Mountain Of Grace Homehealth,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA NEYOR MULUBAH (CEO)
(817) 386-0223
Entity
Organization
Contact information
Practice address
9533 JEREMIAH DR, FORT WORTH, TX 76108-5925
(817) 386-0223
Mailing address
PO BOX 151242, FORT WORTH, TX 76108-5242
(817) 386-0223
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
MEDICARE DOES NOT RECOGNIZED PERSONAL ASSISTANT SERVICE
—
Enumeration date
08/17/2022
Last updated
06/21/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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