Healthcare Provider Details

I. General information

NPI: 1578475083
Provider Name (Legal Business Name): GRAHAMCARES FAMILY HOME CARE AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2004 INDIAN DR
VINELAND NJ
08361-6410
US

IV. Provider business mailing address

2004 INDIAN DR
VINELAND NJ
08361-6410
US

V. Phone/Fax

Practice location:
  • Phone: 404-908-2457
  • Fax:
Mailing address:
  • Phone: 404-908-2457
  • 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: JENNIFER K GRAHAM
Title or Position: FOUNDER/CEO
Credential: LMSW
Phone: 404-908-2457