Active NPI
Abundant Grace Home Care LLC
- Homemaker
- Jacksonville, FL
National Provider Identifier
1457262156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Legal business name
- ABUNDANT GRACE HOME CARE LLC
- Practice address
- 380 Martin Lakes Dr W
Jacksonville, FL 32220-3747 - Phone
- (904) 982-8262
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimwana Benson
- Title
- Owner
- Phone
- (904) 982-8262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | NU | Primary |
Addresses
Primary practice location
380 Martin Lakes Dr W
Jacksonville, FL 32220-3747
Mailing address
380 Martin Lakes Dr W
Jacksonville, FL 32220-3747
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- In Home Supportive Care Agency
- Jacksonville, FL
- NPI 1992275986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1457262156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 MARTIN LAKES DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322203747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 MARTIN LAKES DR W",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322203747",
"telephone_number": "904-982-8262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABUNDANT GRACE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "KIMWANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-982-8262"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.