Healthcare Provider Details

I. General information

NPI: 1265348825
Provider Name (Legal Business Name): GRACE CAREGIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6374 WITHERSPOON TRL
LANCASTER SC
29720-7736
US

IV. Provider business mailing address

6374 WITHERSPOON TRL
LANCASTER SC
29720-7736
US

V. Phone/Fax

Practice location:
  • Phone: 252-903-1001
  • Fax:
Mailing address:
  • Phone: 252-903-1001
  • 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: ERIC WISCHHUSEN
Title or Position: OWNER
Credential:
Phone: 252-903-1001