Provider Demographics
NPI:1811218993
Name:GRACE CAREGIVERS INC
Entity Type:Organization
Organization Name:GRACE CAREGIVERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:EMELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:NJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-481-7208
Mailing Address - Street 1:6327 STEVENSON AVE
Mailing Address - Street 2:APT A
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-3559
Mailing Address - Country:US
Mailing Address - Phone:240-481-7208
Mailing Address - Fax:866-470-3118
Practice Address - Street 1:6327 STEVENSON AVE
Practice Address - Street 2:APT A
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-3559
Practice Address - Country:US
Practice Address - Phone:240-481-7208
Practice Address - Fax:866-470-3118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-12
Last Update Date:2010-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health