Healthcare Provider Details

I. General information

NPI: 1841179546
Provider Name (Legal Business Name): GRACE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2025
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 E BURNHAM AVE
DES MOINES IA
50315-6382
US

IV. Provider business mailing address

235 E BURNHAM AVE
DES MOINES IA
50315-6382
US

V. Phone/Fax

Practice location:
  • Phone: 515-205-7397
  • Fax: 515-205-7397
Mailing address:
  • Phone: 515-205-7397
  • Fax: 515-205-7397

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LORI MICHELLE SKOOG
Title or Position: PRESIDENT
Credential:
Phone: 515-205-7397