MEDICARE: GRACE'S HOPE 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	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1902749377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE'S HOPE LLC

Provider Business Mailing Address
First Line	:	3707 PENNYWEIGHT CT
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-1977
Country	:	US
Telephone Number	:	475-345-2598
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 PENNYWEIGHT CT
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23237-1977
Country	:	US
Telephone Number	:	475-345-2598
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JIMMIE LEE PENN III
Credential	:
Telephone Number	:	475-345-2598

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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Directions to “GRACE'S HOPE LLC ” Practice Location

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