Healthcare Provider Details

I. General information

NPI: 1285550657
Provider Name (Legal Business Name): TAILORED IN GRACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3538 VALLESTON PKWY APT 2
TOLEDO OH
43607-1199
US

IV. Provider business mailing address

2370 E STADIUM BLVD # 2033
ANN ARBOR MI
48104-4811
US

V. Phone/Fax

Practice location:
  • Phone: 419-340-9530
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TAYLOR GRACE
Title or Position: OWNER
Credential:
Phone: 419-340-9530