Healthcare Provider Details

I. General information

NPI: 1164331955
Provider Name (Legal Business Name): GRATITUDE CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2026
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E CAYHILL LN
SMYRNA DE
19977-3985
US

IV. Provider business mailing address

114 E CAYHILL LN
SMYRNA DE
19977-3985
US

V. Phone/Fax

Practice location:
  • Phone: 302-222-8043
  • Fax:
Mailing address:
  • Phone: 302-222-8043
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: TETEE LEONA GARNETT JOHNSON
Title or Position: PROJECT MANAGER
Credential:
Phone: 302-222-8043