Grace Care Services LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GRACE CARE SERVICES LLC

Practice address

395 E Central Ave
Winter Haven, FL 33880-3047

Phone

(863) 585-0147

Fax

(863) 875-5348

NPI assigned

Feb 20, 2016

Organization subpart

No

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

Authorized official

Name

Shanell S CodyNPI 1245462928

Title

Owner

Phone

(863) 585-0147

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shanell Cody

  • Nurse's Aide
  • Winter Haven, FL
  • NPI 1245462928
  NPD Authorized official

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

{
    "created_epoch": "1455926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1922467851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803047",
            "telephone_number": "863-585-0147",
            "fax_number": "863-875-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803047",
            "telephone_number": "863-585-0147",
            "fax_number": "863-875-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-20",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "CODY",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-585-0147"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Goodson, LMHC
• Erik Gordon
• Phillip C. Gordon, M.D.
• Grace & Truth Practical Therapy, LLC
• Grace Care Ser LLC
• Grace Hope Counseling of Florida, PLLC (Grace Counseling Services of Winter Haven, PLLC)
• Graham Robinson-Farah MD PA
• Amanda Elizabeth Granger-Epps
• Breona Gray
• Lelia C Gray, ARNP

• Developmentally Disabled Services Day Training Agency in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.