Winn-Ful Grace Homecare Service Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WINN-FUL GRACE HOMECARE SERVICE INC

Practice address

1104 Bartow Rd Apt H85
Lakeland, FL 33801-5850

Phone

(863) 812-7724

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Winnifred M McCalla

Title

Owner

Phone

(863) 812-7724

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1285098590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 BARTOW RD APT H85",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015850",
            "telephone_number": "863-812-7724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 BARTOW RD APT H85",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015850",
            "telephone_number": "863-812-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINN-FUL GRACE HOMECARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MCCALLA",
        "authorized_official_first_name": "WINNIFRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-812-7724"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010465800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Christina Wilson, RN
• Thomas A. Wilson, DDS
• William R Wiltshire
• Margaret P Wimberly, ARNP
• Brian Win, PA
• Ann Chacko Winny, MD
• Natalie Anne Wipert, APRN
• Amanda Jene Wirth, APRN
• Heather Ann Wise
• Sara Lindsay Wise, FNP

• Home Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.