Grace Solutions LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

GRACE SOLUTIONS LLC

Doing business as

Beautiful Life Care & Services

Practice address

12927 Highland Gate Dr
Jacksonville, FL 32224-1663

Phone

(386) 846-3551

NPI assigned

Sep 4, 2018

Last updated

Oct 19, 2019By 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

Angelia Andrews, BSN

Title

Chief Executive Officer

Phone

(386) 846-3551

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beautiful Life Care & Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelia Kallen, RN

  • Registered Nurse
  • Jacksonville, FL
  • NPI 1023509577

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571443200000",
    "number": "1356823611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12927 HIGHLAND GATE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241663",
            "telephone_number": "386-846-3551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12927 HIGHLAND GATE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241663",
            "telephone_number": "386-846-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2019-10-19",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "386-846-3551",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100595900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Life Care & Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2019; 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.