Active NPI
Our Home of Grace Home Care LLC
- Home Health Agency
- Tallahassee, FL
National Provider Identifier
1558020008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- OUR HOME OF GRACE HOME CARE LLC
- Practice address
- 2940 E Park Ave Unit 2-J
Tallahassee, FL 32301-3446 - Phone
- (229) 569-0423
- Fax
- (850) 765-1132
- NPI assigned
- Dec 13, 2021
- 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
- Lakesha Thompson
- Title
- Owner
- Phone
- (229) 569-0423
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2940 E Park Ave Unit 2-J
Tallahassee, FL 32301-3446
Mailing address
4006 Tralee Rd
Tallahassee, FL 32309-2821
Phone (229) 569-0423
Other names 1
- Our Home Of Grace Home Care LLC
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.
-
- Home Health Agency
- Tallahassee, FL
- NPI 1336807643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639353600000",
"number": "1558020008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 TRALEE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323092821",
"telephone_number": "229-569-0423",
"fax_number": "850-765-1132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 E PARK AVE UNIT 2-J",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323013446",
"telephone_number": "229-569-0423",
"fax_number": "850-765-1132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUR HOME OF GRACE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-13",
"last_updated": "2021-12-13",
"certification_date": "2021-12-13",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "LAKESHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "229-569-0423"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Our Home Of Grace Home Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.