MEDICARE: GRACELAND HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1033832696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACELAND HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	2581 PINNACLE LN
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7535
Country	:	US
Telephone Number	:	312-404-4478
Fax Number	:

Provider Business Practice Location Address
First Line	:	2581 PINNACLE LN
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-7535
Country	:	US
Telephone Number	:	312-404-4478
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. CHRISTINA DADA
Credential	:
Telephone Number	:	312-404-4478

Provider Enumeration Date	:	09/20/2022
Last Update Date	:	09/20/2022

Similar Medicare Providers

1962944660 — MS. CHRISTINA FAWOLE APRN
Practice Location Address:

2581 PINNACLE LN
CLERMONT, FL
34711-7535

Practice Phone: 312-404-4478
Practice Fax:

1619595592 — TIFFANY CONCEPCION
Practice Location Address:

16500 ARROWHEAD TRL
CLERMONT, FL
34711-6218

Practice Phone: 407-969-7535
Practice Fax:

1033064548 — LIZWELL LLC
Practice Location Address:

17011 STATE ROAD 50
CLERMONT, FL
34711-8203

Practice Phone: 352-353-2208
Practice Fax: 352-227-3975

1801650056 — EMILY LINDFORS LMHC
Practice Location Address:

210 N HIGHWAY 27 STE 4
CLERMONT, FL
34711-2411

Practice Phone: 352-708-6283
Practice Fax:

1952256026 — DIANE DENISE STOVALL
Practice Location Address:

10809 MASTERS DR
CLERMONT, FL
34711-7114

Practice Phone: 407-785-5179
Practice Fax:

1275086886 — KELLY EILEEN JEAN-LOUIS ARNP
Practice Location Address:

4805 BARBADOS LOOP
CLERMONT, FL
34711-5400

Practice Phone: 407-269-4935
Practice Fax:

Directions to “GRACELAND HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.