Grace Home Living Facility Llc

LBN: Grace Home Living Facility Llc
Grace Home Living Facility Llc is an health care organization with primary practice located at 2821 Hunt St , Jacksonville FL 32254-4003. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Grace Home Living Facility Llc can be contacted via phone (904) 379-6710, or through Holmes, Collette Katrell via phone (904) 673-7212.

Contact Information

Primary practice address
2821 Hunt St Jacksonville FL 32254-4003
Phone: (904) 379-6710
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holmes, Collette Katrell
Phone: (904) 673-7212

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X AL12677 Florida

Profile Details

NPI number 1467821512
LBN Legal business name Grace Home Living Facility Llc
DBA Doing business as
Authorized official Holmes, Collette Katrell
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2015
Last updated Sep 18th, 2015 - about 11 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 1467821512 NPPES
Florida MEDICAID 015058700

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