Grace Care Ser Llc

LBN: Grace Care Ser Llc
Grace Care Ser Llc is an health care organization with primary practice located at 395 E Central Ave , Winter Haven FL 33880-3047. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Agencies / In Home Supportive Care. Agencies / Home Health is the primary health care specialty. Grace Care Ser Llc can be contacted via phone (863) 585-0147, or through Cody, Shanell S via phone (863) 585-0147.

Contact Information

Primary practice address
395 E Central Ave Winter Haven FL 33880-3047
Phone: (863) 585-0147
Fax: (863) 875-5348
Website:
Map and Directions
Authorized official contact:
Name: Cody, Shanell S
Phone: (863) 585-0147

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1619331451
LBN Legal business name Grace Care Ser Llc
DBA Doing business as
Authorized official Cody, Shanell S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2016
Last updated Jun 29th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619331451 NPPES
Florida MEDICAID 017257100

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