MEDICARE: POSITIONED BY GRACE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1194684498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POSITIONED BY GRACE LLC

Provider Business Mailing Address
First Line	:	2467 CHESTNUT RIDGE PL
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-4884
Country	:	US
Telephone Number	:	205-460-9001
Fax Number	:

Provider Business Practice Location Address
First Line	:	2467 CHESTNUT RIDGE PL
Second Line	:
City	:	VESTAVIA HILLS
State	:	AL
Zip	:	35216-4884
Country	:	US
Telephone Number	:	205-460-9001
Fax Number	:

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	THERESA ALI
Credential	:
Telephone Number	:	205-460-9001

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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