MEDICARE: GRACEFULLY PRESENT HOME CARE 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	:	1477408334
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEFULLY PRESENT HOME CARE LLC

Provider Business Mailing Address
First Line	:	6541 BIG STONE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-6843
Country	:	US
Telephone Number	:	904-451-8988
Fax Number	:

Provider Business Practice Location Address
First Line	:	6541 BIG STONE DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32244-6843
Country	:	US
Telephone Number	:	904-451-8988
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMEKA L BELL
Credential	:
Telephone Number	:	904-451-8988

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

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Directions to “GRACEFULLY PRESENT HOME CARE LLC ” Practice Location

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