Healthcare Provider Details
I. General information
NPI: 1225689425
Provider Name (Legal Business Name): VISIT WITH GRACE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/28/2019
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
307 CRANES ROOST BLVD STE 1010
ALTAMONTE SPRINGS FL
32701-3441
US
IV. Provider business mailing address
307 CRANES ROOST BLVD STE 1010
ALTAMONTE SPRINGS FL
32701-3441
US
V. Phone/Fax
- Phone: 407-813-1988
- Fax: 407-813-1983
- Phone: 407-813-1988
- Fax: 407-813-1983
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3747A0650X |
| Taxonomy | Attendant Care Provider |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLASENI
DURO-EMANUEL
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 407-813-1988