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NPI Code Detail

MEDICARE: GRACELYN HEALTHCARE

MEDICARE: GRACELYN HEALTHCARE
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
1251E00000XHome Health Agency
2251J00000XNursing Care Agency
3253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1457215238
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRACELYN HEALTHCARE
Provider Business Mailing Address
First Line : 14 FARMINGTON RD
Second Line :
City : SOUTH BARRINGTON
State : IL
Zip : 60010-6160
Country : US
Telephone Number : 630-401-9924
Fax Number :
Provider Business Practice Location Address
First Line : 14 FARMINGTON RD
Second Line :
City : SOUTH BARRINGTON
State : IL
Zip : 60010-6160
Country : US
Telephone Number : 630-401-9924
Fax Number :
Authorized Official
Title or Position : REGISTERED NURSE
Name : EVELYN ANDOH
Credential : RN
Telephone Number : 630-401-9924
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “GRACELYN HEALTHCARE ” Practice Location

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