1598167652 NPI number — GRACE PROVIDERS HOME HEALTH CARE INC.

Table of content: (NPI 1598167652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598167652 NPI number — GRACE PROVIDERS HOME HEALTH CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRACE PROVIDERS HOME HEALTH CARE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598167652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4000 PARAMOUNT PARKWAY
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
MORRISVILLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27560-4702
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-390-2980
Provider Business Mailing Address Fax Number:
919-390-1888

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5510 CHEROKEE AVE
Provider Second Line Business Practice Location Address:
SUITE 250
Provider Business Practice Location Address City Name:
ALEXANDRIA
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22312-2320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-845-2785
Provider Business Practice Location Address Fax Number:
571-282-4446
Provider Enumeration Date:
09/20/2014

Additional Information

Authorized Official

Authorized Official Last Name:
DUARTE
Authorized Official First Name:
KENNETH
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
336-553-5912

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  HCO-151156 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com