Organization Active NPI

Gramz Ultimate Care, LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1184442949
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRAMZ ULTIMATE CARE, LLC
Practice address
6610 Powers Ave Unit 2102
Jacksonville, FL 32217-2878
Phone
(904) 662-4950
NPI assigned
Oct 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Lanesha S Graham, CNA
Title
Owner
Phone
(904) 662-4950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6610 Powers Ave Unit 2102
Jacksonville, FL 32217-2878

Mailing address

6610 Powers Ave Unit 2102
Jacksonville, FL 32217-2878
Phone (904) 662-4950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1184442949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 POWERS AVE UNIT 2102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172878",
            "telephone_number": "904-662-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 POWERS AVE UNIT 2102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172878",
            "telephone_number": "904-662-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMZ ULTIMATE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LANESHA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-662-4950",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.