LAKAYES GRACIOUS HOME HEALTH NPI 1629808274

NPI Information

  • NPI: 1629808274
  • Provider Name: LAKAYES GRACIOUS HOME HEALTH
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 1807 TANGLEBERRY CT
    FRESNO, TX
    ZIP 77545
  • Phone: (832) 986-2826

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NPI Details

LAKAYES GRACIOUS HOME HEALTH is a community based residential treatment facility, intellectual and/or developmental disabilities in Fresno, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. LAKAYES GRACIOUS HOME HEALTH NPI is 1629808274. The provider is registered as an organization entity type.

The provider's business location address is:

1807 TANGLEBERRY CT
FRESNO, TX
ZIP 77545-520
Phone: (832) 986-2826

The provider's authorized official is Timeka Kotun .
The authorized official title is Owner and has the following contact phone number (832) 986-2826.

The enumeration date for this NPI number is 8/7/2024 and was last updated on 8/14/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
2343800000XSecured Medical Transport (VAN)No
3347C00000XPrivate VehicleNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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