Healthcare Provider Details

I. General information

NPI: 1326586876
Provider Name (Legal Business Name): GRACE AND HARMONY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2017
Last Update Date: 08/08/2020
Certification Date: 08/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4709 SE 102ND PLACE
BELLEVIEW FL
34420-2940
US

IV. Provider business mailing address

4218 SE 136TH PL
SUMMERFIELD FL
34491-2371
US

V. Phone/Fax

Practice location:
  • Phone: 352-630-5626
  • Fax: 321-256-5097
Mailing address:
  • Phone: 352-630-5626
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: NATASHA GRACE
Title or Position: OWNER
Credential:
Phone: 352-630-5626