MEDICARE: GRACE HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	17639733	MO

General Provider Information

NPI Number	:	1316070139
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE HOME

Provider Business Mailing Address
First Line	:	7511 N AVA AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-4242
Country	:	US
Telephone Number	:	816-587-9224
Fax Number	:

Provider Business Practice Location Address
First Line	:	7511 N AVA AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64151-4242
Country	:	US
Telephone Number	:	816-587-9224
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. TERESA LYNN GRACE
Credential	:
Telephone Number	:	816-587-9224

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	07/15/2008

Similar Medicare Providers

1679729099 — ANDREW J SMITH PHARM.D.
Practice Location Address:

2464 CHARLOTTE ST , HSB 4242
KANSAS CITY, MO
64108-2718

Practice Phone: 816-235-1791
Practice Fax:

1902984461 — NORTH VALLEY ORTHOPAEDIC & HAND SURGERY, A MEDICAL CORPORATION
Practice Location Address:

1526 PLUMAS COURT , SUITE 300
YUBA CITY, CA
95991-4242

Practice Phone: 530-671-2650
Practice Fax: 530-671-4265

1255540977 — DR. JOSHUA G CLAUSON PSY.D.
Practice Location Address:

699 E SOUTH TEMPLE , STE 120
SALT LAKE CITY, UT
84102-4242

Practice Phone: 801-419-0401
Practice Fax: 801-350-9582

1740458231 — CENTERED COUNSELING PLLC
Practice Location Address:

4568 HIGHLAND DR STE 145
SALT LAKE CITY, UT
84117-4242

Practice Phone: 801-450-7658
Practice Fax:

1720211238 — MS. CANDICE CHRISTIANSEN LPC
Practice Location Address:

4568 HIGHLAND DR STE 145
SALT LAKE CITY, UT
84117-4242

Practice Phone: 480-274-5454
Practice Fax:

1366675928 — JEREMY CALEB KINSER
Practice Location Address:

720 S DUBUQUE ST STE 1
IOWA CITY, IA
52240-4242

Practice Phone: 319-214-0409
Practice Fax: 319-359-4144

Directions to “GRACE HOME ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.