Healthcare Provider Details

I. General information

NPI: 1508792268
Provider Name (Legal Business Name): MERCY & GRACE HOME HEALTH AND PERSONAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5904 RICHMOND HWY STE 521
ALEXANDRIA VA
22303-1864
US

IV. Provider business mailing address

5904 RICHMOND HWY STE 521
ALEXANDRIA VA
22303-1864
US

V. Phone/Fax

Practice location:
  • Phone: 240-501-4290
  • Fax:
Mailing address:
  • Phone: 240-501-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MARIE CHRISTELLE NYEKI
Title or Position: CEO / PROGRAM DIRECTOR
Credential:
Phone: 240-501-4290