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NPI Code Detail

MEDICARE: GRANDFIRM LLC

MEDICARE: GRANDFIRM 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1972449551
Entity Type Code : Organization
Provider Name (Legal Business Name) : GRANDFIRM LLC
Provider Business Mailing Address
First Line : 4037 E INDEPENDENCE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-3260
Country : US
Telephone Number : 980-499-8079
Fax Number : 980-422-0378
Provider Business Practice Location Address
First Line : 4037 E INDEPENDENCE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-3260
Country : US
Telephone Number : 980-499-8079
Fax Number : 980-422-0378
Authorized Official
Title or Position : CHAIRMAN
Name : FELICIA OLA AKA
Credential :
Telephone Number : 980-499-8079
Provider Enumeration Date : 04/27/2026
Last Update Date : 06/19/2026

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Directions to “GRANDFIRM LLC ” Practice Location

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