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General NPI Number Information
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NPI Number | 1891608139
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Entity Type | Organization
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Legal Business Name | GRACE HOMES LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 423 MCLAUGHLIN ST
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City | RICHMOND
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State | CA
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Zip | 94805-2435
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Country | US
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Telephone | 650-483-1477
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Fax | 510-233-7354
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Provider Business Mailing Address
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Address Line | 4918 NEVIN AVE
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City | RICHMOND
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State | CA
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Zip | 94805-2437
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Country | US
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Telephone | 650-483-1477
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Fax | 510-233-7354
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Authorized Official
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Title or Position | AMINISTRATOR
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Name | HELEN GRACE HERBERT
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Credential |
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Telephone | 650-483-1477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | NULL
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