Healthcare Provider Details

I. General information

NPI: 1487577284
Provider Name (Legal Business Name): GRACE FAMILY RESIDENTIAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 WOODVALE ST
BROCKTON MA
02301-5653
US

IV. Provider business mailing address

28 WOODVALE ST
BROCKTON MA
02301-5653
US

V. Phone/Fax

Practice location:
  • Phone: 774-240-8086
  • Fax:
Mailing address:
  • Phone: 774-240-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ISEMY FRANCOIS
Title or Position: OWNER
Credential:
Phone: 774-240-8086