Graceville HCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

GRACEVILLE HCC LLC

Practice address

1083 Sanders Ave
Graceville, FL 32440-1854

Phone

(850) 263-4447

NPI assigned

Jul 14, 2025

Last updated

Jul 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chaim Leibowitz

Title

Evp

Phone

(850) 263-4447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1902797269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 CEDARWOOD DR",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161010",
            "telephone_number": "850-263-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 SANDERS AVE",
            "city": "GRACEVILLE",
            "state": "FL",
            "postal_code": "324401854",
            "telephone_number": "850-263-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEVILLE HCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "LEIBOWITZ",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "EVP",
        "authorized_official_telephone_number": "850-263-4447"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Graceville, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.