MEDICARE: GRACEE KLINGENSMITH

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1578495800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACEE KLINGENSMITH

Provider Business Mailing Address
First Line	:	760 MAPLE LAKE RD
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-7612
Country	:	US
Telephone Number	:	304-844-2442
Fax Number	:

Provider Business Practice Location Address
First Line	:	760 MAPLE LAKE RD
Second Line	:
City	:	BRIDGEPORT
State	:	WV
Zip	:	26330-7612
Country	:	US
Telephone Number	:	304-844-2442
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

Similar Medicare Providers

1588387112 — MOHAMMAD HANI MOHAMMAD ALMOMANI MBBS
Practice Location Address:

327 MEDICAL PARK DR STE 107
BRIDGEPORT, WV
26330-9006

Practice Phone: 304-933-3843
Practice Fax:

1205760527 — KOLENA SMITH
Practice Location Address:

108 CAMBRIDGE PL
BRIDGEPORT, WV
26330-2812

Practice Phone: 304-678-0021
Practice Fax:

1790619724 — WSSH POWERBACK REHABILITATION SERVICES, LLC
Practice Location Address:

1000 MAPLEWOOD DR
BRIDGEPORT, WV
26330-9115

Practice Phone: 304-933-3338
Practice Fax:

1437081569 — JUSTIN RYAN DALY PRSS
Practice Location Address:

100 MARKET PL
BRIDGEPORT, WV
26330-9168

Practice Phone: 304-848-5770
Practice Fax:

1386678035 — MRS. SHIRLEY SIMMONS PA-C
Practice Location Address:

120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV
26330-4599

Practice Phone: 304-513-3495
Practice Fax:

1891628616 — RYAN MICHAEL NEIL DDS
Practice Location Address:

110 DANIEL DR
BRIDGEPORT, WV
26330-2048

Practice Phone: 304-842-0441
Practice Fax:

Directions to “ GRACEE KLINGENSMITH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.