Graced Care Providers, L.L.C.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACED CARE PROVIDERS, L.L.C.

Practice address

20225 Vintage Oaks PL
Tampa, FL 33647-3286

Phone

(813) 464-9411

NPI assigned

Jan 30, 2020

Organization subpart

No

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

Authorized official

Name

Aireonna K Bailey

Title

Owner

Phone

(813) 464-9411

Specialties & licenses 1

Addresses

Other names 1

• Graced Care Providers, L.L.C. Other name

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1144851965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 VINTAGE OAKS PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473286",
            "telephone_number": "813-464-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 VINTAGE OAKS PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473286",
            "telephone_number": "813-464-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACED CARE PROVIDERS, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "AIREONNA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-464-9411"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graced Care Providers, L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gracepoint Management, Inc.
• Gracepoint MHC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.