Organization
GRACE HOMESTEAD LLC
Active
Organization
GRACE HOMESTEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL GUDZA (ADMINISTRATOR)
(469) 235-7900
Entity
Organization
Contact information
Practice address
6604 HERBERT RD, COLLEYVILLE, TX 76034-7239
(469) 235-7900
Mailing address
6604 HERBERT RD, COLLEYVILLE, TX 76034-7239
(469) 235-7900
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
282E00000X
Long Term Care Hospital
—
—
310400000X
Assisted Living Facility
102479
TX
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/12/2017
Last updated
03/09/2026
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