Grannys in Home Care, Inc.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

GRANNYS IN HOME CARE, INC.

Practice address

4415 Florida National Dr Ste 201
Lakeland, FL 33813-1569

Phone

(863) 808-3533

NPI assigned

Oct 21, 2020

Organization subpart

No

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

Authorized official

Name

Necole Javan Duling, RNNPI 1871184192

Title

Nurse

Phone

(863) 808-3533

Specialties & licenses 5

Addresses

Tax ID family

Grannys in Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Grannys in Home Care, Inc.

  • In Home Supportive Care Agency
  • Lakeland, FL
  • NPI 1083570964
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Necole Javan Duling, RN

  • Home Health Registered Nurse
  • Lakeland, FL
  • NPI 1871184192
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1457950479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91092",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338041092",
            "telephone_number": "863-808-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 FLORIDA NATIONAL DR STE 201",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131569",
            "telephone_number": "863-808-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNYS IN HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-08-23",
        "status": "A",
        "authorized_official_last_name": "DULING",
        "authorized_official_first_name": "NECOLE",
        "authorized_official_middle_name": "JAVAN",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "863-808-3533",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Graham Jr., MD
• Maittee Grana
• Preetham Grandhi, M.D.
• Aitor Granero Lozano
• Grannys in Home Care, Inc.
• Maxine M Granstan, CNA
• Grant Medical Service, Inc
• Alecia Grant
• Trinieisha Grant
• Yvonne Evadney Grant, APRN

• Home Health Registered Nurse in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.