Active NPI
The Hands of Grace and Mercy Alf
- Home Health Agency
- Fort Pierce, FL
National Provider Identifier
1124387766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- THE HANDS OF GRACE AND MERCY ALF
- Practice address
- 3808 Avenue L
Fort Pierce, FL 34947-2362 - Phone
- (772) 766-5078
- Fax
- (772) 409-4408
- NPI assigned
- May 15, 2012
- 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
- Ms. Ruth H. Freeman-Wheeler
- Title
- Owner/Director
- Phone
- (772) 766-5078
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Attendant Care Provider | 3747A0650X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
3808 Avenue L
Fort Pierce, FL 34947-2362
Mailing address
3808 Avenue L
Fort Pierce, FL 34947-2362
Phone (772) 766-5078
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002457900 | Other | FL | ASSIST PEOPLE WITH DISIBILITY |
| 002457900 | Medicaid | FL | |
| 00245790 | Other | FL | HOME AND COMMUNITY BASE |
Other names 1
- The Hands of Grace and Mercy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645142400000",
"number": "1124387766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 AVENUE L",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349472362",
"telephone_number": "772-766-5078",
"fax_number": "772-672-4650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 AVENUE L",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349472362",
"telephone_number": "772-766-5078",
"fax_number": "772-409-4408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HANDS OF GRACE AND MERCY ALF",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-15",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A",
"authorized_official_last_name": "FREEMAN-WHEELER",
"authorized_official_first_name": "RUTH",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "OWNER/DIRECTOR",
"authorized_official_telephone_number": "772-766-5078",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASSIST PEOPLE WITH DISIBILITY",
"identifier": "002457900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002457900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME AND COMMUNITY BASE",
"identifier": "00245790",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Hands of Grace and Mercy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "The Hands of Grace and Mercy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.