Grace Manor at Hunters Creek, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACE MANOR AT HUNTERS CREEK, LLC

Practice address

765 W Grant St
Plant City, FL 33563-6810

Phone

(813) 743-6222

NPI assigned

Apr 6, 2021

Organization subpart

No

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

Authorized official

Name

Savitri Johnson

Title

Administrative Assistant / Ar

Phone

(863) 226-0358

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1336728302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ARIANA AVE",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234139",
            "telephone_number": "863-226-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 W GRANT ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335636810",
            "telephone_number": "813-743-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MANOR AT HUNTERS CREEK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAVITRI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT / AR",
        "authorized_official_telephone_number": "863-226-0358"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135774400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keila Gomes
• Zelazny Gonzalez Cruz
• Ana Yuliagny Gonzalez Dominguez
• Sue Gosciniak-Garcia
• Mackenzie Gould
• Grant Manor Inc
• Timothy P Gray, PT
• Jenna G Green, LMHC
• Jasmine Griffin, LAT, ATC
• Sarah Michelle Grimm, LPTA

• Assisted Living Facility in Plant City, FL
• Providers in Plant City, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.