Individual provider Active NPI

Natasha Grace

  • Home Health Agency
  • Eustis, FL
National Provider Identifier
1386047363
Registry record updated Aug 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
233097 Issued in FL
Practice address
303 E Idlewild Ave
Eustis, FL 32726-6449
Phone
(352) 630-5626
Fax
(321) 256-5097
NPI assigned
Oct 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 30212086 FL
Home Health Agency 251E00000X 233097 FL Primary
Home Health Agency 251E00000X 30212086 FL
Nursing Care Agency 251J00000X 30212086 FL
In Home Supportive Care Agency 253Z00000X 30212086 FL

Addresses

Primary practice location

303 E Idlewild Ave
Eustis, FL 32726-6449

Mailing address

4218 SE 136TH PL
Summerfield, FL 34491-2371
Phone (352) 630-5626

Other practice location 1

4709 SE 102nd Pl
Belleview, FL 34420-2939
Phone (352) 630-5626

Other identifiers 1

IdentifierTypeStateIssuer
008467900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
233097FLMDHome Health Agency
30212086FLMDNursing Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Logan's Heavenly Care Services Corp Home Health Current Accepting new patients
Grace and Harmony Home Health PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596844800000",
    "number": "1386047363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 SE 136TH PL",
            "city": "SUMMERFIELD",
            "state": "FL",
            "postal_code": "344912371",
            "telephone_number": "352-630-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E IDLEWILD AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266449",
            "telephone_number": "352-630-5626",
            "fax_number": "321-256-5097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4709 SE 102nd Pl",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344202939",
            "country_code": "US",
            "telephone_number": "352-630-5626",
            "fax_number": "321-256-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRACE",
        "first_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2020-08-08",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "30212086",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "233097",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "30212086",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "30212086",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "30212086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008467900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.