MEDICARE: GRACE HOMECARE AGENCY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1235947367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE HOMECARE AGENCY

Provider Business Mailing Address
First Line	:	7 PARADISE PT
Second Line	:
City	:	FORT MITCHELL
State	:	AL
Zip	:	36856-4432
Country	:	US
Telephone Number	:	706-573-5730
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 PARADISE PT
Second Line	:
City	:	FORT MITCHELL
State	:	AL
Zip	:	36856-4432
Country	:	US
Telephone Number	:	706-604-4098
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ARLENA BAKER
Credential	:
Telephone Number	:	706-573-5730

Provider Enumeration Date	:	12/20/2024
Last Update Date	:	02/18/2025

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Directions to “GRACE HOMECARE AGENCY ” Practice Location

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