Healthcare Provider Details

I. General information

NPI: 1861330508
Provider Name (Legal Business Name): GRACE MASON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 CURTIS AVE
OMAHA NE
68111-1139
US

IV. Provider business mailing address

PO BOX 641936
OMAHA NE
68164-7936
US

V. Phone/Fax

Practice location:
  • Phone: 402-850-6720
  • Fax:
Mailing address:
  • Phone: 402-850-6720
  • Fax:

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:
Title or Position:
Credential:
Phone: