=====================================================
General NPI Number Information
=====================================================
NPI Number | 1578475083
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GRAHAMCARES FAMILY HOME CARE AGENCY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/19/2026
-----------------------------------------------------
Last Update Date | 09/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2004 INDIAN DR
-----------------------------------------------------
City | VINELAND
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08361-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-908-2457
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2004 INDIAN DR
-----------------------------------------------------
City | VINELAND
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08361-6410
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-908-2457
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER/CEO
-----------------------------------------------------
Name | JENNIFER K GRAHAM
-----------------------------------------------------
Credential | LMSW
-----------------------------------------------------
Telephone | 404-908-2457
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------