Healthcare Provider Details

I. General information

NPI: 1427700814
Provider Name (Legal Business Name): GRACE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 SW GAGE BLVD STE B
TOPEKA KS
66604-1893
US

IV. Provider business mailing address

1215 SW GAGE BLVD STE B
TOPEKA KS
66604-1893
US

V. Phone/Fax

Practice location:
  • Phone: 785-286-2273
  • Fax: 785-246-5373
Mailing address:
  • Phone: 785-286-2273
  • Fax: 785-246-5373

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRAD DEICH
Title or Position: CFO
Credential:
Phone: 515-453-8880