HOUSE OF GRACES LLC
NPI 1073106373
Community/Behavioral Health in Phoenix, AZ

Active since February 17, 2021
4260 N 19TH AVE, PHOENIX, AZ 85015(775) 379-3850 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 12, 2021, Feb 17, 2021 (2 updates tracked since 2021).

About House Of Graces Llc NPPES

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

HOUSE OF GRACES LLC (NPI 1073106373) is a healthcare organization registered as a community/behavioral health in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Samantha D Owens, Owner, as its authorized official.

NPPES Registry Identity

NPI1073106373
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameHOUSE OF GRACES LLC
Location Address4260 N 19TH AVEPhoenix, AZ 85015-5108
Mailing Address4260 N 19th AvePhoenix, AZ 85015-5108 · (775) 379-3850
Organization SubpartYes
Authorized OfficialSamantha D OwensOwner · (775) 379-3850
Enumeration DateFebruary 17, 2021
Last NPPES UpdateMarch 12, 20212 updates tracked since enumeration
NPPES CertifiedMarch 12, 2021
NPI 1073106373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

4260 N 19TH AVE, Phoenix, AZ 85015

Other Names 1

Doing Business AsHouse Of Graces Llc

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073106373, enumerated as an "organization" on February 17, 2021.

The provider is located at 4260 N 19TH AVE PHOENIX, AZ 85015 and the phone number is (775) 379-3850.

Community/Behavioral Health with taxonomy code 251S00000X.