Graceful Home Services Llc

LBN: Graceful Home Services Llc
Graceful Home Services Llc is an health care organization with primary practice located at 2236 Blackwood Dr , Mulberry FL 33860-5500. The organization recently has 4 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Home Health, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Graceful Home Services Llc can be contacted via phone (863) 258-4147, or through Robertson, Nichole via phone (863) 258-4147.

Contact Information

Primary practice address
2236 Blackwood Dr Mulberry FL 33860-5500
Phone: (863) 258-4147
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Robertson, Nichole
Phone: (863) 258-4147

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Home Health 251E00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1619647179
LBN Legal business name Graceful Home Services Llc
DBA Doing business as
Authorized official Robertson, Nichole
Entity Organization
Organization subpart 1 No
Enumeration date Sep 16th, 2021
Last updated Dec 29th, 2021 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619647179 NPPES
Florida MEDICAID 105551700

Popular Providers