Healthcare Provider Details

I. General information

NPI: 1023934700
Provider Name (Legal Business Name): GRACE ABIGAIL ALEXANDER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5878 FOREST HILLS BLVD
COLUMBUS OH
43231-2950
US

IV. Provider business mailing address

5878 FOREST HILLS BLVD
COLUMBUS OH
43231-2950
US

V. Phone/Fax

Practice location:
  • Phone: 740-963-6434
  • Fax:
Mailing address:
  • Phone: 800-617-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: