Grace & Favor Group Home, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACE & FAVOR GROUP HOME, INC

Practice address

6519 NW 25TH Ter
Gainesville, FL 32653-1581

Phone

(352) 256-8182

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Shronda AllenNPI 1003281320

Title

Director

Phone

(352) 256-8182

Specialties & licenses 4

Addresses

Other identifiers 2

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Gates Transportation, Inc

  • Private Vehicle
  • Gainesville, FL
  • NPI 1265223556
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shronda Allen

  • Adult Companion
  • Gainesville, FL
  • NPI 1003281320
  NPD Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1992167894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141202",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326141202",
            "telephone_number": "352-256-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6519 NW 25TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531581",
            "telephone_number": "352-256-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & FAVOR GROUP HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "SHRONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-256-8182"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "233993",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "FL",
            "license": "212625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016312100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992167894",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance S. Governale, M.D.
• Pareesha Govindji
• Taylor Gowen, MD
• Ryan Grabau, MD
• Donald E Grabove, M.D.
• Grace Angel Care LLC
• Abby Rae Grace
• Gracefully Treasured Homecare, Inc
• Megan Jurecko Gracy, DMD
• Nancy Grad

• In Home Supportive Care Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.