Healthcare Provider Details

I. General information

NPI: 1992520902
Provider Name (Legal Business Name): A TOUCH OF GRACE HOMECARE & TRANSPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 11/15/2024
Certification Date: 11/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 CHITTENDEN ST
AKRON OH
44306-2471
US

IV. Provider business mailing address

628 CHITTENDEN ST
AKRON OH
44306-2471
US

V. Phone/Fax

Practice location:
  • Phone: 330-815-0052
  • Fax:
Mailing address:
  • Phone: 330-815-0052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: NATORRIA CLARK
Title or Position: CEO
Credential:
Phone: 330-815-0052