Grace Built Foundation LLC · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

1803 E Brown St, Lubbock, TX 79403-4029

Overview

Grace Built Foundation LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (organization) practicing in Lubbock, Texas. The National Provider Identifier (NPI) is #1861335440, which was assigned on April 10, 2026, and the registration record was last updated on April 10, 2026. The practitioner's main practice location is at 1803 E Brown St, Lubbock, TX 79403-4029; the contact telephone number is 8172288307, and the fax number is 8172288307. The primary taxonomy of Grace Built Foundation LLC is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X). The authorized official for Grace Built Foundation LLC is Miranda M Gatewood (Director).

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider Information

NPI 1861335440
Entity Type Organization
Organization Name GRACE BUILT FOUNDATION LLC
Provider Name GRACE BUILT FOUNDATION LLC
Practice Address 1803 E Brown St
Lubbock
TX 79403-4029
Practice Telephone 8172288307
Practice Fax Number 8172288307
Mailing Address 1803 E Brown St
Lubbock
TX 79403-4029
Mailing Telephone 8172288307
Mailing Fax Number 8172288307
Certification Date 2026-04-09
Enumeration Date 2026-04-10
Last Update Date 2026-04-10
Is Organization Subpart N

Authorized Official Information

Official Name MIRANDA M GATEWOOD
Official Title DIRECTOR
Telephone 8172288307

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Information

Primary Taxonomy

Code 320900000X
Taxonomy Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Classification Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Grouping Residential Treatment Facilities
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Notes: [7/1/2003: new, 1/1/2021: modified title, modified definition]

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Provider NameAddressTaxonomyEnumeration Date
Kassim Mganga 1805 N 73rd St, Omaha, NE 68114-1905Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
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Twinkle Hearts Empowerment Residence 2040 Millburn Ave Ste 102, Maplewood, NJ 07040-3716Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-09
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Elizabeth Embrace Community Home, LLC 73 Hidden Brook Blvd, Dover, DE 19904-1896Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-02
My Care My Choice LLC 4323 Wild Rye Aly, Boyds, MD 20841-0048Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
Caring With Purpose LLC 2829 Nw 40th Pl, Gainesville, FL 32605-1536Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-06
Sisters of Hope Services 1335 Carrick Ct, Middletown, DE 19709-9968Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-09
J.W. Homes LLC 2203 Stockton Ct Sw, Decatur, AL 35603-7703Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-10
Novella Haven LLC Residential Care 7330 Sw Trillium Ave, Beaverton, OR 97008-5750Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility2026-04-06
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Location Information

Street Address 1803 E BROWN ST
City LUBBOCK
State TX
Zip Code 79403-4029
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Teri Lee Glascock 1307 Mlk Blvd, Lubbock, TX 79403-5329Pediatric Nurse Practitioner2006-10-17
Jeremy Walker 4810 N County Road 2800, Lubbock, TX 79403-7297Professional Counselor2025-09-08
Neurobloom PLLC 4810 N County Road 2800, Lubbock, TX 79403-7297Nurse Practitioner2025-08-25
Parkway Pharmacy LLC 1824 Parkway Dr Ste 100, Lubbock, TX 79403-4416Community/Retail Pharmacy2025-07-16
Janice E Sweetman 3502 N Holly St, Lubbock, TX 79403-9703Psychiatric/Mental Health Nurse Practitioner2021-09-22
Michael Deshone Green Sr. 1502 E 16th St, Lubbock, TX 79403-5316Adult Companion2025-06-11
The Ranch At Dove Tree, LLC 1406 Quinlan Street, Lubbock, TX 79403Substance Abuse Rehabilitation Facility2007-01-24
Kristen Michelle Meeks · Kristen Michelle Hanselman 4810 N County Road 2800, Lubbock, TX 79403-7297Clinical Social Worker2024-09-12
Fannin County Hospital Authority 507 Martin Luther King Blvd, Lubbock, TX 79403-5213Skilled Nursing Facility2025-07-29
Robertah Rodriguez 4810 N County Road 2800, Lubbock, TX 79403-7297Mental Health Counselor2025-09-08
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.