MEDICARE: GRACE &MERCY HOME HEALTHCARE INC

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	261QA0600X	Adult Day Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932749835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE &MERCY HOME HEALTHCARE INC

Provider Business Mailing Address
First Line	:	4095 QUACKER BRIDGE RD PRINCETON JUNCTION, NJ 08550
Second Line	:	4095 QUACKER BRIDGE RD
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550
Country	:	US
Telephone Number	:	609-964-7770
Fax Number	:	609-964-7778

Provider Business Practice Location Address
First Line	:	4095 QUAKER BRIDGE RD, PRINCETON JUNCTION, NJ 08550
Second Line	:
City	:	WEST WINDSOR
State	:	NJ
Zip	:	08550
Country	:	US
Telephone Number	:	609-964-7770
Fax Number	:	609-964-7778

Authorized Official
Title or Position	:	DON
Name	:	MRS. ALEYAMMA P JOSEPH
Credential	:
Telephone Number	:	609-964-7770

Provider Enumeration Date	:	01/09/2020
Last Update Date	:	02/13/2023

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