GRACE & MERCY HOMECARE LLC (NPI# 1770045890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770045890 |
Entity Type | Organization |
Organization Name | GRACE & MERCY HOMECARE LLC |
Practice Address |
1737 Vivian Ct Deltona FL 32725-7680 |
Mailing Address |
Po Box 391622 Deltona FL 32739-1622 |
Practice Telephone | 3863203449 |
Practice Fax Number | 3869171962 |
Mailing Telephone | 3863203449 |
Mailing Fax Number | 3869171762 |
Enumeration Date | 2019-04-06 |
Last Update Date | 2019-04-06 |
Authorized Official Name | SHAWNTA JOSEPH (ADMINISTRATOR) |
Authorized Official Telephone | 3863203449 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 347C00000X | Private Vehicle | Transportation Services | ||
N | 347E00000X | Transportation Broker | Transportation Services | ||
N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 385H00000X | Respite Care | Respite Care Facility | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
1737 VIVIAN CT |
City | DELTONA |
State | FL |
Zip Code | 32725-7680 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215499330 | Shawnta Joseph | Private Vehicle | 1737 Vivian Ct, Deltona, FL 32725-7680 | 2019-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003465097 | Medical Center of Deltona, Inc. | General Acute Care Hospital | 3300 Halifax Crossings Blvd., Deltona, FL 32725 | 2019-09-11 |
1235674359 | Danielle Nichole Nussel | Behavioral Analyst | 1729 Templewood Ave, Deltona, FL 32725 | 2016-12-28 |
1023550498 | Deltona Alf Management | Assisted Living Facility | 2306 N Normandy Blvd, Deltona, FL 32725 | 2016-11-16 |
1245781806 | Advanced Medical Care, LLC | Family Medicine | 734 Elkham Blvd, Deltona, FL 32725 | 2016-10-19 |
1932500170 | Onshk LLC | Pharmacy | 2091 Saxon Blvd, Suite 100, Deltona, FL 32725 | 2014-09-08 |
1104239706 | Natalie Beecham-coppin | Social Worker | 323 Diamond Street, Deltona, FL 32725 | 2014-06-11 |
1871893826 | John E Peats | Speech-Language Pathologist | 2979 Wild Pepper Avenue, Deltona, FL 32725 | 2010-10-25 |
1558682328 | Lisa Krupa | Counselor | 667 Deltona Blvd., Deltona, FL 32725 | 2010-06-16 |
1730407917 | Robert E Kent | Physical Medicine & Rehabilitation | 813 Deltona Blvd, Deltona, FL 32725 | 2010-05-12 |
1922331982 | Orlando Vamc | Clinic/Center | 1200 Deltona Blvd Ste 41-47, Deltona, FL 32725 | 2009-09-09 |
Find all providers in zip 32725 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194286641 | Ecuafam Inc. | In Home Supportive Care | 1569 Baltimore Ave, Deltona, FL 32725-5633 | 2019-03-27 |
1992275986 | Kimwana Benson | In Home Supportive Care | 1874 Montebello Ave, Deltona, FL 32738-4257 | 2018-12-03 |
1205326444 | Mdss Services LLC | In Home Supportive Care | 2593 Courtland Blvd, Deltona, FL 32738-2543 | 2018-05-14 |
1205330768 | Angel Premium Care LLC | In Home Supportive Care | 3042 Viewpoint St, Deltona, FL 32725-2117 | 2018-03-20 |
1821650839 | Serenity Homecare Solutions,llc | In Home Supportive Care | 1874 Montebello Ave, Deltona, FL 32738-4257 | 2019-07-01 |
1295150191 | Mi Casita Alf Inc | In Home Supportive Care | 630 Stallings Ave, Deltona, FL 32738-9206 | 2014-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700487477 | Benevolent Home Care Solutions, LLC | In Home Supportive Care | 303 N Charles Willis Dr, Midway, FL 32343-4294 | 2020-11-08 |
1396346045 | Alea Home Services Corp | In Home Supportive Care | 10300 Sw 72nd St Ste 261a, Miami, FL 33173-3014 | 2020-11-07 |
1124629134 | Shameka Ashawn Raines | In Home Supportive Care | 111 N Bay St, Port St Joe, FL 32456-1431 | 2020-11-05 |
1477154680 | C.n.e Health Care LLC | In Home Supportive Care | 10859 Jessica Ash Dr, Jacksonville, FL 32218-6537 | 2020-11-04 |
1487254199 | Ahhc Services, LLC | In Home Supportive Care | 2650 Ne 57th St, Ft Lauderdale, FL 33308-2709 | 2020-10-30 |
1821698648 | Evolution Home Care LLC | In Home Supportive Care | 7401 Wiles Rd Ste 214, Coral Springs, FL 33067-2038 | 2020-10-30 |
1790385334 | Care One, LLC | In Home Supportive Care | 15399 Ne 6th Ave Apt 401, Miami, FL 33162-5076 | 2020-10-30 |
1861092801 | Laundry Cleaner Corp | In Home Supportive Care | 7050 Nw 2nd Ave, Miami, FL 33150-4008 | 2020-10-29 |
1295334258 | Petagaye A Porter | In Home Supportive Care | 1627 Burnham St, Orlando, FL 32808-6011 | 2020-10-21 |
1942809918 | Angel Heart Homemaker and Companion Care Services LLC | In Home Supportive Care | 1423 Se 16th Pl Ste 203, Cape Coral, FL 33990-3891 | 2020-10-21 |
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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.