Aging Graceful Care LLC
Organization Active NPI In Home Supportive Care Agency · Decatur, IL
NPI 1114689585 · NPPES record last updated Jan 6, 2024
Key facts
- NPI
- 1114689585
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- AGING GRACEFUL CARE LLC
- Practice address
- 5160 Hickory Point Frontage Rd
Decatur, IL 62526-9778 - Phone
- (217) 247-3120
- NPI assigned
- Oct 12, 2021
- Organization subpart
- No
Authorized official
- Name
- Mrs. Tosha Cobb, PTA,LMT
- Title
- Owner/Director
- Phone
- (217) 454-9645
Practitioners 1
-
Tosha Cobb, LMT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
5160 Hickory Point Frontage Rd
Decatur, IL 62526-9778
Mailing address
2610 S Forrest Green Dr
Decatur, IL 62521-5411
Phone (217) 454-9645
Other names
- Aging Graceful Care
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- Erica Agrall
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All providers in Decatur, IL · In Home Supportive Care Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.