GRACE-GARANTHE MEDICAL SUPPLY LLC


Address: 2400 Wisteria Dr, Suite F, Snellville, GA 30078-2689
Phone: 7704419992

GRACE-GARANTHE MEDICAL SUPPLY LLC (NPI# 1497100317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497100317
Entity Type Organization
Organization Name GRACE-GARANTHE MEDICAL SUPPLY LLC
Practice Address 2400 Wisteria Dr
Suite F
Snellville
GA 30078-2689
Practice Telephone 7704419992
Mailing Telephone 7704419992
Enumeration Date 2016-04-28
Last Update Date 2016-04-28
Authorized Official Name MS. RANTI HERNANDEZ (AUTHORIZE OFFICIAL)
Authorized Official Telephone 7704419992
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332B00000X Durable Medical Equipment & Medical Supplies 298593 GA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
GA HB 298593 01

Office Location

Street Address 2400 WISTERIA DR
SUITE F
City SNELLVILLE
State GA
Zip Code 30078-2689

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770688392 Gwinnett Bone & Joint Specialist Orthopaedic Surgery 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2006-09-14
1285084897 Joseph Drew Johnson Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2016-06-14
1922474725 Ashley Nicole Mcfarland Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2015-08-15
1205238631 Amanda Hotop Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2014-09-17
1295143659 Shelby Gaccetta Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2014-07-30
1619309564 Camelyn T Gustafson Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2013-08-02
1780026203 Evan Rosenberry Specialist/Technologist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2013-07-25
1962756478 Sarah Gossett Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2012-11-06
1184979288 Amy E Curtis Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2012-07-16
1609131820 Laura P Guigou Physical Therapist 2400 Wisteria Dr, Suite A, Snellville, GA 30078-2689 2012-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619594561 Steven Nguyen Optometrist 1905 Scenic Hwy S #1130, Snellville, GA 30078 2020-06-26
1891320776 Youstina Harkas Optometrist 1679 Scenic Hwy S 203, Snellville, GA 30078 2020-03-11
1578101127 Jwwt Neuoromonitoring, LLC Psychiatry & Neurology 1350 Scenic Highway, Suite 266, Snelville, GA 30078 2019-12-13
1679119903 Lashon Poole Wells Social Worker 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 2019-11-21
1427601426 Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC Registered Nurse 1350 Scenic Highway Suite #266, Sneville, GA 30078 2019-07-18
1063975548 Joanne Mcdougal Patterson Nurse Practitioner 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 2019-04-10
1689144263 Israel Branford Physical Therapist 1575 Scenic Hwy Ste 100, Snellville, GA 30078 2018-11-27
1902382997 Brittany Dupree Dermatology 2383 Pate Street North, Snellville, GA 30078 2018-07-13
1134610926 Reid Weston Popple Dentist 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 2018-05-29
1326550492 Optimal Healthcare Services LLC Clinic/Center 2121 Fountain Dr Ste F, Snellville, GA 30078 2017-10-30
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962975722 True Medical Supplies LLC Durable Medical Equipment & Medical Supplies 2330 Scenic Hwy S Ste 220, Snellville, GA 30078-3115 2019-01-04
1780151480 Embrace of Gwinnett Durable Medical Equipment & Medical Supplies 2992 Main St W Ste 104, Snellville, GA 30078-5735 2018-10-31
1922582543 Purpose Medical Supply Inc Durable Medical Equipment & Medical Supplies 2330 Scenic Hwy S Ste 215, Snellville, GA 30078-3115 2018-09-19
1689164014 Best Medical Supply LLC Durable Medical Equipment & Medical Supplies 2140 Mcgee Rd Ste C145, Snellville, GA 30078-2984 2018-05-10
1023507555 Embrace of Ga Inc Durable Medical Equipment & Medical Supplies 2140 Mcgee Rd Ste C680, Snellville, GA 30078-7017 2018-05-10
1346752854 Georgia Pain and Wellness Center, LLC Durable Medical Equipment & Medical Supplies 1780 Oak Rd, Snellville, GA 30078-2202 2017-10-25
1063936623 Safeway Medical LLC Durable Medical Equipment & Medical Supplies 2330 Scenic Hwy S Ste 303, Snellville, GA 30078-3115 2017-07-26
1235651969 Toussaint Corporation Durable Medical Equipment & Medical Supplies 2671 Centerville Hwy Ste 150, Snellville, GA 30078-4538 2017-07-14
1467863381 Mcclendon Assemblies, LLC Durable Medical Equipment & Medical Supplies 3530 Revere Cir, Snellville, GA 30039-6042 2014-05-13
1275882680 Kusler Enterprises, Inc. Durable Medical Equipment & Medical Supplies 2083 Parkwood Rd, Snellville, GA 30078-2833 2012-08-30
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Competitor

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City SNELLVILLE
Zip Code 30078

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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