Healthcare Provider Details

I. General information

NPI: 1093672560
Provider Name (Legal Business Name): GRACE FOUND HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 CLINTON AVE FL 2
NEWARK NJ
07114-2012
US

IV. Provider business mailing address

70 CLINTON AVE FL 2
NEWARK NJ
07114-2012
US

V. Phone/Fax

Practice location:
  • Phone: 717-620-1745
  • Fax:
Mailing address:
  • Phone: 717-620-1745
  • Fax:

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: GIFTY ODEI APAU
Title or Position: OWNER
Credential:
Phone: 717-620-1745