Organization Active NPI

Grace PRN LLC

  • Home Health Agency
  • Snellville, GA
National Provider Identifier
1124871819
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE PRN LLC
Practice address
2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921
Phone
(770) 769-1728
NPI assigned
Apr 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gaynell RobinsonNPI 1407601339
Title
Owner
Phone
(770) 769-1728

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X
Home Health Agency 251E00000X Primary
Community/Behavioral Health Agency 251S00000X
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921

Mailing address

2398 Lenora Church Rd Ste 108
Snellville, GA 30078-6921
Phone (770) 769-1728

National Provider Directory

National Provider Directory

Locations

2398 Lenora Church Rd
Ste 108
Snellville, GA 30078
Phone (470) 549-6063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1124871819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 108",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "770-769-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2398 LENORA CHURCH RD STE 108",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786921",
            "telephone_number": "770-769-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "GAYNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-769-1728"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.