Active NPI
Aging With Grace at Home LLC
- In Home Supportive Care Agency
- Vero Beach, FL
National Provider Identifier
1043913346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- AGING WITH GRACE AT HOME LLC
- Practice address
- 2501 27TH Ave Ste A2
Vero Beach, FL 32960-1952 - Phone
- (772) 770-1400
- Fax
- (772) 999-2961
- NPI assigned
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Tripson
- Title
- Ambr
- Phone
- (772) 473-0443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2501 27TH Ave Ste A2
Vero Beach, FL 32960-1952
Mailing address
2501 27TH Ave Ste A2
Vero Beach, FL 32960-1952
Phone (772) 770-1400
National Provider Directory
National Provider DirectoryLocations
2501 27th Ave
Ste A2
Vero Beach, FL 32960
Phone (772) 563-2644
1600 26th St
Ste 3
Vero Beach, FL 32960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1043913346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 27TH AVE STE A2",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329601952",
"telephone_number": "772-770-1400",
"fax_number": "772-999-2961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 27TH AVE STE A2",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329601952",
"telephone_number": "772-770-1400",
"fax_number": "772-999-2961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AGING WITH GRACE AT HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "TRIPSON",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "AMBR",
"authorized_official_telephone_number": "772-473-0443"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.