Provider Demographics
NPI:1992387781
Name:GRACEISHOME, LLC
Entity Type:Organization
Organization Name:GRACEISHOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHREINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-309-5112
Mailing Address - Street 1:PO BOX 720
Mailing Address - Street 2:
Mailing Address - City:TRURO
Mailing Address - State:MA
Mailing Address - Zip Code:02666-0720
Mailing Address - Country:US
Mailing Address - Phone:202-309-5112
Mailing Address - Fax:
Practice Address - Street 1:12 MAIN ST UNIT E2
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:MA
Practice Address - Zip Code:02653-2418
Practice Address - Country:US
Practice Address - Phone:202-309-5112
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care