Provider Demographics
NPI:1619722022
Name:GRACE & MERCY HOME CARE LLC
Entity Type:Organization
Organization Name:GRACE & MERCY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:OLAYINKA
Authorized Official - Last Name:OGUNDIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-956-4780
Mailing Address - Street 1:1904 CARTIER RUBY LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-5097
Mailing Address - Country:US
Mailing Address - Phone:301-956-4780
Mailing Address - Fax:
Practice Address - Street 1:1904 CARTIER RUBY LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5097
Practice Address - Country:US
Practice Address - Phone:301-956-4780
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care