NPIMap

Organization Active NPI

All Grace Family Home, LLC.

  • Respite Care
  • Eustis, FL
National Provider Identifier
1558934828
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ALL GRACE FAMILY HOME, LLC.
Practice address
914 Edgewater Dr
Eustis, FL 32726-2690
Phone
(352) 602-7091
Fax
(352) 557-8562
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Lacresha CaldwellNPI 1457859118
Title
Owner
Phone
(352) 602-7091

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)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

914 Edgewater Dr
Eustis, FL 32726-2690

Mailing address

914 Edgewater Dr
Eustis, FL 32726-2690
Phone (352) 602-7091

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EUSTIS Other

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1558934828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 EDGEWATER DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262690",
            "telephone_number": "352-602-7091",
            "fax_number": "352-557-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 EDGEWATER DR",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262690",
            "telephone_number": "352-602-7091",
            "fax_number": "352-557-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL GRACE FAMILY HOME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "LACRESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-602-7091"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EUSTIS",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EUSTIS",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EUSTIS",
            "address_1": "914 Edgewater Dr",
            "city": "Eustis",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327262690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 23, 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.

Verify at the official NPI Registry.