Healthcare Provider Details

I. General information

NPI: 1144147174
Provider Name (Legal Business Name): CHARITY'S GRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 AL HIGHWAY 87
TROY AL
36079-3380
US

IV. Provider business mailing address

1262 HUNTERS MOUNTAIN PKWY
TROY AL
36079-5876
US

V. Phone/Fax

Practice location:
  • Phone: 334-482-5699
  • Fax:
Mailing address:
  • Phone: 334-672-1066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TROY DUNN
Title or Position: PROGRAM COORDINATOR
Credential:
Phone: 334-482-5699