Provider Demographics
NPI:1689341943
Name:GRACE ASSURED HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:GRACE ASSURED HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:ACUFF
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:352-609-2023
Mailing Address - Street 1:511 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-3125
Mailing Address - Country:US
Mailing Address - Phone:352-609-2023
Mailing Address - Fax:352-609-2035
Practice Address - Street 1:511 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-3125
Practice Address - Country:US
Practice Address - Phone:352-609-2023
Practice Address - Fax:352-609-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health