Healthcare Provider Details
I. General information
NPI: 1164340154
Provider Name (Legal Business Name): GRACE CARE ADVOCATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17545 DORIS ST
MONTVERDE FL
34756-3167
US
IV. Provider business mailing address
17545 DORIS ST
MONTVERDE FL
34756-3167
US
V. Phone/Fax
- Phone: 407-620-4084
- Fax:
- Phone: 407-620-4084
- Fax: 407-540-9305
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally Disabled Services Day Training Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROLINE
A
HITTE
Title or Position: OWNER
Credential:
Phone: 407-620-4084