Provider Demographics
NPI:1871151829
Name:GRACE HOME HEALTH & HOSPICE INC
Entity type:Organization
Organization Name:GRACE HOME HEALTH & HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:ATTORNEY
Authorized Official - Phone:209-800-6168
Mailing Address - Street 1:1500 STANDIFORD AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0592
Mailing Address - Country:US
Mailing Address - Phone:209-800-6168
Mailing Address - Fax:209-222-4109
Practice Address - Street 1:1500 STANDIFORD AVE STE 10
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-0592
Practice Address - Country:US
Practice Address - Phone:209-800-6168
Practice Address - Fax:209-222-4109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-04
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based