Grace 1 Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACE 1 HOME CARE LLC

Practice address

16033 NE 9TH PL
North Miami Beach, FL 33162-4421

Phone

(786) 597-1168

NPI assigned

Jul 16, 2024

Organization subpart

No

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

Authorized official

Name

Antoinise Charles

Title

Owner

Phone

(786) 597-1168

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1851139745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16033 NE 9TH PL",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624421",
            "telephone_number": "786-597-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16033 NE 9TH PL",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624421",
            "telephone_number": "786-597-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE 1 HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "ANTOINISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-597-1168"
    },
    "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
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.