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MOUNTAIN OF GRACE HOMEHEALTH,LLC
NPI 1053039917
Technician - Personal Care Attendant in Fort Worth, TX

Active since August 17, 2022
9533 JEREMIAH DR, FORT WORTH, TX 76108(817) 386-0223 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 21, 2023, Dec 5, 2022, Nov 16, 2022 and 2 more (5 updates tracked since 2022).

About Mountain Of Grace Homehealth,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN OF GRACE HOMEHEALTH,LLC (NPI 1053039917) is a healthcare organization registered as a personal care attendant in Fort Worth, Texas and active in the NPI registry since August 2022. The organization lists Patricia Neyor Mulubah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053039917
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameMOUNTAIN OF GRACE HOMEHEALTH,LLC
Location Address9533 JEREMIAH DRFort Worth, TX 76108-5925
Mailing AddressPo Box 151242Fort Worth, TX 76108-5242 · (817) 386-0223
Phone(817) 386-0223
Organization SubpartNo
Authorized OfficialPatricia Neyor MulubahCeo · (817) 386-0223
Enumeration DateAugust 17, 2022
Last NPPES UpdateJune 21, 20235 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1053039917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

9533 JEREMIAH DR, Fort Worth, TX 76108
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Other Names 1

Doing Business AsMountain Of Grace Homehealth,llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Of Grace Homehealth,llc's NPI number?

The NPI number for Mountain Of Grace Homehealth,llc is 1053039917. It was assigned to this organization in the NPPES registry on August 17, 2022.

Where is Mountain Of Grace Homehealth,llc located?

Mountain Of Grace Homehealth,llc is located at 9533 Jeremiah Dr, Fort Worth, TX 76108. The listed phone number is (817) 386-0223.

What is Mountain Of Grace Homehealth,llc's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Mountain Of Grace Homehealth,llc was last updated on June 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.