Healthcare Provider Details

I. General information

NPI: 1083567572
Provider Name (Legal Business Name): MACGRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16109 VIA ULTIMO
MORENO VALLEY CA
92551-1625
US

IV. Provider business mailing address

16109 VIA ULTIMO
MORENO VALLEY CA
92551-1625
US

V. Phone/Fax

Practice location:
  • Phone: 951-426-8765
  • Fax:
Mailing address:
  • Phone: 951-426-8765
  • 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: UNWANA GODWIN ENOIDEM
Title or Position: CEO
Credential:
Phone: 951-426-8765