Provider Demographics
NPI:1528613965
Name:GRACE CARES LLC
Entity type:Organization
Organization Name:GRACE CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEKETE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGEBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-327-6860
Mailing Address - Street 1:4431 EUGENE WAY
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-5415
Mailing Address - Country:US
Mailing Address - Phone:720-327-6860
Mailing Address - Fax:
Practice Address - Street 1:4431 EUGENE WAY
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80239-5415
Practice Address - Country:US
Practice Address - Phone:720-327-6860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2020-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty