Healthcare Provider Details

I. General information

NPI: 1891608139
Provider Name (Legal Business Name): GRACE HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 MCLAUGHLIN ST
RICHMOND CA
94805-2435
US

IV. Provider business mailing address

4918 NEVIN AVE
RICHMOND CA
94805-2437
US

V. Phone/Fax

Practice location:
  • Phone: 650-483-1477
  • Fax: 510-233-7354
Mailing address:
  • Phone: 650-483-1477
  • Fax: 510-233-7354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: HELEN GRACE HERBERT
Title or Position: AMINISTRATOR
Credential:
Phone: 650-483-1477