Healthcare Provider Details

I. General information

NPI: 1265342497
Provider Name (Legal Business Name): GRACE & DIGNITY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16701 MELFORD BLVD STE 400
BOWIE MD
20715-4411
US

IV. Provider business mailing address

9103 WOODMORE CENTER DR # 645
LANHAM MD
20706-1653
US

V. Phone/Fax

Practice location:
  • Phone: 202-743-6406
  • Fax:
Mailing address:
  • Phone: 202-743-6406
  • 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: RADIAH CARSON
Title or Position: OWNER/CEO
Credential:
Phone: 202-743-6406