Willow Grace Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

WILLOW GRACE HOMECARE LLC

Practice address

1445 Eagle View Blvd
#649
Antioch, TN 37013

Phone

(615) 522-5018

NPI assigned

Dec 9, 2024

Organization subpart

No

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

Authorized official

Name

Adaugo Aguzie

Title

Owner

Phone

(443) 303-7120

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1710793229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 UNION ST STE 545",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372191876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 EAGLE VIEW BLVD",
            "address_2": "#649",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-522-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW GRACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-11-03",
        "status": "A",
        "authorized_official_last_name": "AGUZIE",
        "authorized_official_first_name": "ADAUGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-303-7120"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicoya Williams, LGSW
• Sabrina Scruggs Williams, PHARM.D
• Sherry Williams, MA
• Tabitha Sarai Williams, LMT,MMP
• Sunny Morgen Willoughby-McDermott, DDS
• Jennifer Wilmore, LMFT
• Inas Winchester, NP-C
• Stephen Lewis Wise, PHARM.D
• Rosalind K. Womack, M.D.
• Omar Wood

• In Home Supportive Care Agency in Antioch, TN
• Providers in Antioch, TN by specialty
• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.