Healthcare Provider Details

I. General information

NPI: 1417819038
Provider Name (Legal Business Name): GRACE MOUNTAIN HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 WESSEL DR STE 7
FAIRFIELD OH
45014-3662
US

IV. Provider business mailing address

759 WESSEL DR STE 7
FAIRFIELD OH
45014-3662
US

V. Phone/Fax

Practice location:
  • Phone: 513-833-0332
  • Fax:
Mailing address:
  • Phone:
  • 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: CHRISTIANA AFRIYIE
Title or Position: PRESIDENT
Credential:
Phone: 513-833-0332