Organization Active NPI

Gracealliance LLC

Doing business as ComForCare Home Care - PWC/S. Fairfax

  • In Home Supportive Care Agency
  • Manassas, VA
National Provider Identifier
1619732070
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEALLIANCE LLC
Doing business as
ComForCare Home Care - PWC/S. Fairfax
Practice address
9720 Capital CT Ste 401a
Manassas, VA 20110-2052
Phone
(703) 940-5946
Fax
(703) 650-1972
NPI assigned
Feb 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Authorized official

Name
Ms. Candi Cansler
Title
Owner
Phone
(423) 972-2463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

9720 Capital CT Ste 401a
Manassas, VA 20110-2052

Mailing address

12282 Scotts Mill Dr
Bristow, VA 20136-1914

Other names 1

  • ComForCare Home Care - PWC/S. Fairfax Doing business as

National Provider Directory

National Provider Directory

Locations

9720 Capital Ct
Ste 401A
Manassas, VA 20110
Phone (703) 940-5946

NPI Registry JSON

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1619732070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12282 SCOTTS MILL DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201361914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT STE 401A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102052",
            "telephone_number": "703-940-5946",
            "fax_number": "703-650-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "CANSLER",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-972-2463",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care - PWC/S. Fairfax",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.