Healthcare Provider Details

I. General information

NPI: 1245057322
Provider Name (Legal Business Name): ASSISTING GRACE HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4335 ABBOTTS BRIDGE RD
DULUTH GA
30097-2107
US

IV. Provider business mailing address

4335 ABBOTTS BRIDGE RD
DULUTH GA
30097-2107
US

V. Phone/Fax

Practice location:
  • Phone: 678-710-4343
  • Fax:
Mailing address:
  • Phone: 678-710-4343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: YOLANDA L GRACE
Title or Position: CHIEF EXECUTIVE OFFICE
Credential:
Phone: 678-710-4343