Nikky Grace Haven Homecare LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

NIKKY GRACE HAVEN HOMECARE LLC

Practice address

100 Felton St Ste B
Waltham, MA 02453-4149

Phone

(857) 266-5649

Fax

(617) 916-5094

NPI assigned

Jan 30, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole FleuridorNPI 1265012074

Title

Ceo

Phone

(857) 266-5649

Specialties & licenses 1

Addresses

Tax ID family

Nikky Grace Haven Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nikky Grace Haven Homecare LLC

  • Home Health Aide
  • Waltham, MA
  • NPI 1811846942
  NPD tax ID

Practitioners 1

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

• Nicole Fleuridor

  • Home Health Aide
  • Newton, MA
  • NPI 1265012074
  NPD Authorized official

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

{
    "created_epoch": "1769731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1306796255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 RIDGE LN APT 111",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024524941",
            "telephone_number": "857-266-5649",
            "fax_number": "617-916-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FELTON ST STE B",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024534149",
            "telephone_number": "857-266-5649",
            "fax_number": "617-916-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKY GRACE HAVEN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "FLEURIDOR",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-266-5649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalena Nguyen
• Khang B Nguyen, CSA
• Steve Pham Nguyen
• Jonathan Nichols
• Nicole Cardarelli, LMHC LCC
• Nikky Grace Haven Homecare LLC
• Nile Health LLC
• Stephen Takeo Nishiyama, MD
• NK Family Dentistry
• Victoria Nkinzi

• Home Health Aide in Waltham, MA
• Providers in Waltham, MA by specialty
• Home Health Aide in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.