MEDICARE: NU GRACE FAMILY 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1801767629
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NU GRACE FAMILY CARE LLC

Provider Business Mailing Address
First Line	:	101 CONVENTION CENTER DR STE 900
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2039
Country	:	US
Telephone Number	:	844-684-7223
Fax Number	:	909-300-6327

Provider Business Practice Location Address
First Line	:	101 CONVENTION CENTER DR STE 900
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89109-2039
Country	:	US
Telephone Number	:	844-684-7223
Fax Number	:	909-300-6327

Authorized Official
Title or Position	:	CEO
Name	:	DR. GEORGINA FLOYD
Credential	:	DNP
Telephone Number	:	909-637-6520

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “NU GRACE FAMILY CARE LLC ” Practice Location

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