Grace & Faith Care Agency LLC

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Legal business name

GRACE & FAITH CARE AGENCY LLC

Practice address

213 Kerneywood St Ste 8
Lakeland, FL 33803-2947

Phone

(863) 608-6831

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Dianelys Reyes

Title

Owner

Phone

(863) 808-3994

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1437871738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 KERNEYWOOD ST STE 8",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-608-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 KERNEYWOOD ST STE 8",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338032947",
            "telephone_number": "863-608-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & FAITH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "DIANELYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-808-3994"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "30212449",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Gorell, MD
• Jennie Carey Gossett, RD
• Jessica Goutzos
• Ankur Kumar Goyal, M.D., MSC
• Saachi Goyal, DDS
• Grace Manor at Lake Morton, LLC
• Grace Manor Suites
• David W Graham Jr., MD
• Maittee Grana
• Preetham Grandhi, M.D.

• Attendant Care Provider in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Attendant Care Provider in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.