Healthcare Provider Details

I. General information

NPI: 1063325348
Provider Name (Legal Business Name): ROOTED IN GRACE HOME CARE AND COMPANION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 55TH AVENUE CIR E APT 104
BRADENTON FL
34203-4485
US

IV. Provider business mailing address

1670 55TH AVENUE CIR E APT 104
BRADENTON FL
34203-4485
US

V. Phone/Fax

Practice location:
  • Phone: 941-536-5320
  • Fax:
Mailing address:
  • Phone: 941-536-5320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: YAYNELYS DUARDO MOREIRA
Title or Position: OWNER
Credential:
Phone: 941-536-5320