MEDICARE: OLIVE KALETA GRACE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	376K00000X	Nurse's Aide
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1790526390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OLIVE KALETA GRACE

Provider Business Mailing Address
First Line	:	5052 PARK RIDGE CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5551
Country	:	US
Telephone Number	:	513-344-0206
Fax Number	:

Provider Business Practice Location Address
First Line	:	5052 PARK RIDGE CT
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-5551
Country	:	US
Telephone Number	:	513-344-0206
Fax Number	:

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

Provider Enumeration Date	:	06/05/2024
Last Update Date	:	06/05/2024

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1487404893 — KEVIN ROMARD
Practice Location Address:

5008 PARK RIDGE CT
WEST CHESTER, OH
45069-5551

Practice Phone: 513-465-9216
Practice Fax:

1669647731 — MR. MARK EVANDER MCDAVID OTR/L
Practice Location Address:

1 PARK WEST CIR
MIDLOTHIAN, VA
23114-5551

Practice Phone: 804-855-4086
Practice Fax:

1992965248 — MISS SAMANTHA ANN MERRITTS MPT
Practice Location Address:

1 PARK WEST CIR , SUITE 108
MIDLOTHIAN, VA
23114-5551

Practice Phone: 800-969-9265
Practice Fax:

1629209895 — MRS. LORI WALKER BOWMAN COTA/L
Practice Location Address:

1 PARK WEST CIR , SUITE 108
MIDLOTHIAN, VA
23114-5551

Practice Phone: 800-969-9265
Practice Fax:

1295966463 — MRS. MARGARET CATHERINE GODFREY OTRL
Practice Location Address:

1 PARK WEST CIR , SUITE 108
MIDLOTHIAN, VA
23114-5551

Practice Phone: 800-969-9265
Practice Fax:

Directions to “ OLIVE KALETA GRACE ” 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.