Sunshine Grace Private Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUNSHINE GRACE PRIVATE CARE LLC

Practice address

765 Castlebrooke Dr
Lawrenceville, GA 30045-2663

Phone

(404) 980-7321

NPI assigned

Jul 8, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Shandria Dionne Draper

Title

Chief Operating Officer

Phone

(404) 980-7321

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1689410839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 CASTLEBROOKE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452663",
            "telephone_number": "404-980-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 CASTLEBROOKE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452663",
            "telephone_number": "404-980-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE GRACE PRIVATE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "SHANDRIA",
        "authorized_official_middle_name": "DIONNE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "404-980-7321",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.