Healthcare Provider Details

I. General information

NPI: 1043141443
Provider Name (Legal Business Name): GRANTED CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 LINCOLN ST STE 2R
WORCESTER MA
01605-2429
US

IV. Provider business mailing address

121 LINCOLN ST STE 2R
WORCESTER MA
01605-2429
US

V. Phone/Fax

Practice location:
  • Phone: 508-388-1325
  • Fax: 508-786-8298
Mailing address:
  • Phone: 508-388-1325
  • Fax: 508-786-8298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHAYLAH GRANT
Title or Position: OWNER/FOUNDER
Credential: NP
Phone: 508-388-1325