MEDICARE: GRAY FAMILY HOMES, INC.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1699903708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAY FAMILY HOMES, INC.

Provider Business Mailing Address
First Line	:	1418 N ERIE ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-2010
Country	:	US
Telephone Number	:	419-241-8110
Fax Number	:

Provider Business Practice Location Address
First Line	:	1418 N ERIE ST
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-2010
Country	:	US
Telephone Number	:	419-241-8110
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. DEANCA GRAY
Credential	:	THD
Telephone Number	:	419-241-8110

Provider Enumeration Date	:	06/26/2009
Last Update Date	:	03/07/2025

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