MEDICARE: AGING GRACEFULLY HOME CARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1548198757
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGING GRACEFULLY HOME CARE LLC

Provider Business Mailing Address
First Line	:	9800 AIRLINE HWY STE 241
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8195
Country	:	US
Telephone Number	:	225-244-6012
Fax Number	:	225-960-6669

Provider Business Practice Location Address
First Line	:	9800 AIRLINE HWY STE 241
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-8195
Country	:	US
Telephone Number	:	225-244-6012
Fax Number	:	225-960-6669

Authorized Official
Title or Position	:	MANAGER
Name	:	JASMINE FITZGERALD
Credential	:	PHARMD
Telephone Number	:	225-244-6012

Provider Enumeration Date	:	05/11/2026
Last Update Date	:	05/11/2026

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