Elishama Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HCO-07380 Issued in VA

Legal business name

ELISHAMA CARE SERVICES LLC

Doing business as

Grace Care Services

Practice address

6801 Richmond Hwy
Suite#2
Alexandria, VA 22306-1705

Phone

(703) 717-0823

Fax

(703) 717-0824

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Grace B N Davis

Title

Ceo

Phone

(703) 717-0823

Specialties & licenses 1

Addresses

Other names 1

• Grace Care Services Doing business as

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194810044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 RICHMOND HWY",
            "address_2": "SUITE#2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061705",
            "telephone_number": "703-717-0823",
            "fax_number": "703-717-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 RICHMOND HWY",
            "address_2": "SUITE#2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223061705",
            "telephone_number": "703-717-0823",
            "fax_number": "703-717-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISHAMA CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "B N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-717-0823",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO-07380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.