Provider Demographics
NPI:1366731143
Name:GRACE PERSONAL ASSISTANCE SERVICES LLC
Entity type:Organization
Organization Name:GRACE PERSONAL ASSISTANCE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:915-892-5630
Mailing Address - Street 1:1815 E YANDELL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-5716
Mailing Address - Country:US
Mailing Address - Phone:915-892-5630
Mailing Address - Fax:915-842-0580
Practice Address - Street 1:1815 E YANDELL DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902
Practice Address - Country:US
Practice Address - Phone:915-842-0581
Practice Address - Fax:915-842-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-01
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X, 251J00000X, 3747P1801X
TX013522253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty