Provider Demographics
NPI:1275340002
Name:GRACE HOME HOSPICE INC.
Entity type:Organization
Organization Name:GRACE HOME HOSPICE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRYL
Authorized Official - Middle Name:
Authorized Official - Last Name:ESHELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-214-3175
Mailing Address - Street 1:1623 CENTRAL AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4531
Mailing Address - Country:US
Mailing Address - Phone:307-201-2022
Mailing Address - Fax:
Practice Address - Street 1:1623 CENTRAL AVE STE 216
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4531
Practice Address - Country:US
Practice Address - Phone:307-201-2022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based