Healthcare Provider Details

I. General information

NPI: 1871151829
Provider Name (Legal Business Name): GRACE HOME HEALTH & HOSPICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 03/11/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 STANDIFORD AVE STE 10
MODESTO CA
95350-0592
US

IV. Provider business mailing address

1500 STANDIFORD AVE STE 10
MODESTO CA
95350-0592
US

V. Phone/Fax

Practice location:
  • Phone: 209-800-6168
  • Fax: 209-222-4109
Mailing address:
  • Phone: 209-800-6168
  • Fax: 209-222-4109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. GRACE D ROWE
Title or Position: ADMINISTRATOR
Credential: ATTORNEY
Phone: 209-800-6168