OrganizationGrace Human Services LlcIn Home Supportive CareAgenciesPractice Address1305 W Chester Pike, Havertown, PA 19083-2929(888) 322-3611PECOS EnrollmentBased on the most recent information from CMS, provider Grace Human Services Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1699513846Provider TypeOrganizationFull NameGrace Human Services LlcSubpartNoEnumeration Date7/19/2024Last Updated7/19/2024Contact InformationPractice LocationPractice Address1305 W Chester Pike, Havertown, PA 19083-2929Phone(888) 322-3611FaxUnlisted FaxMailing LocationMailing Address1305 W Chester Pike, Havertown, PA 19083-2929Phone(888) 322-3611FaxUnlisted FaxAuthorized OfficialNameJackson, Chavone (President)Phone(888) 322-3611Provider TaxonomiesCodeDescriptionLicenseCode253Z00000XPrimaryDescriptionIn Home Supportive CareAgenciesLicenseUnlisted IssuerCode174200000XDescriptionMealsOther Service ProvidersLicenseUnlisted IssuerCode343900000XDescriptionNon-emergency Medical Transport (VAN)Transportation ServicesLicenseUnlisted Issuer