NPIMap

Organization Active NPI

Grace & Mercy Homecare LLC

  • In Home Supportive Care Agency
  • Deltona, FL
National Provider Identifier
1770045890
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACE & MERCY HOMECARE LLC
Practice address
1737 Vivian CT
Deltona, FL 32725-7680
Phone
(386) 320-3449
Fax
(386) 917-1962
NPI assigned
Apr 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Authorized official

Name
Shawnta JosephNPI 1215499330
Title
Administrator
Phone
(386) 320-3449

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X
Transportation Broker 347E00000X
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X
Respite Care 385H00000X

Addresses

Primary practice location

1737 Vivian CT
Deltona, FL 32725-7680

Mailing address

PO Box 391622
Deltona, FL 32739-1622
Phone (386) 320-3449

National Provider Directory

National Provider Directory
Tax ID family
Grace Mercy Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1554508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554508800000",
    "number": "1770045890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391622",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327391622",
            "telephone_number": "386-320-3449",
            "fax_number": "386-917-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 VIVIAN CT",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257680",
            "telephone_number": "386-320-3449",
            "fax_number": "386-917-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & MERCY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-06",
        "last_updated": "2019-04-06",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SHAWNTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-320-3449"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2019; 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.