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GRACE HEALTHCARE SERVICES, LLC
NPI 1174669568
Nurse Practitioner - Family in Mc Leansboro, IL

Active since January 30, 2007
104 E MARKET ST, MC LEANSBORO, IL 62859(618) 643-3051(618) 643-3164 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Healthcare Services, Llc NPPES

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

GRACE HEALTHCARE SERVICES, LLC (NPI 1174669568) is a healthcare organization registered as a family in Mc Leansboro, Illinois and active in the NPI registry since January 2007. The organization lists Rene L Trotter, Officer, as its authorized official.

NPPES Registry Identity

NPI1174669568
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameGRACE HEALTHCARE SERVICES, LLC
Location Address104 E MARKET STMc Leansboro, IL 62859-1317
Mailing Address104 E Market StMc Leansboro, IL 62859-1317 · (618) 643-3051 · Fax (618) 643-3164
Phone(618) 643-3051
Fax(618) 643-3164
Organization SubpartNo
Authorized OfficialRene L TrotterOfficer · (618) 643-3051
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1174669568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
104 E MARKET ST, Mc Leansboro, IL 62859
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Other Identifiers 9

OtherDG2570IL · Railroad Medicare#
Other788058IL · Healthlink #
OtherP00425296IL · Railroad Medicare #
OtherQ24440IL · Upin #
Medicaid318602171001IL
Medicare PINK38114IL
Other03332007IL · Bcbs #
Medicare PIN215155IL
Other1568446805IL · Personal Npi

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. RENE L BERNARD FNP
Nurse Practitioner (Family)
104 E MARKET ST
MC LEANSBORO, IL 62859
Hamilton County (618) 643-3051

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 Grace Healthcare Services, LLC's NPI number?

The NPI number for Grace Healthcare Services, LLC is 1174669568. It was assigned to this organization in the NPPES registry on January 30, 2007.

Where is Grace Healthcare Services, LLC located?

Grace Healthcare Services, LLC is located at 104 E Market St, Mc Leansboro, IL 62859. The listed phone number is (618) 643-3051.

What is Grace Healthcare Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Grace Healthcare Services, LLC was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.