Healthcare Provider Details

I. General information

NPI: 1972449551
Provider Name (Legal Business Name): GRANDFIRM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4037 E INDEPENDENCE BLVD
CHARLOTTE NC
28205-3260
US

IV. Provider business mailing address

4037 E INDEPENDENCE BLVD
CHARLOTTE NC
28205-3260
US

V. Phone/Fax

Practice location:
  • Phone: 980-499-8079
  • Fax: 980-422-0378
Mailing address:
  • Phone: 980-499-8079
  • Fax: 980-422-0378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: FELICIA OLA AKA
Title or Position: CHAIRMAN
Credential:
Phone: 980-499-8079