Provider Demographics
NPI:1144957788
Name:GRACETOUCH HOME CARE SERVICES
Entity type:Organization
Organization Name:GRACETOUCH HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MUTIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:KUFORIJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-629-9754
Mailing Address - Street 1:21141 SOPHIA DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-1869
Mailing Address - Country:US
Mailing Address - Phone:773-629-9754
Mailing Address - Fax:
Practice Address - Street 1:21141 SOPHIA DR
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-1869
Practice Address - Country:US
Practice Address - Phone:773-629-9754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty