Provider Demographics
NPI:1134811607
Name:GRAYS HOME CARE LLC
Entity type:Organization
Organization Name:GRAYS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-824-8032
Mailing Address - Street 1:1830 OWEN DR STE 10-11
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-1611
Mailing Address - Country:US
Mailing Address - Phone:910-824-8032
Mailing Address - Fax:910-401-1941
Practice Address - Street 1:1830 OWEN DR STE 10-11
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-1611
Practice Address - Country:US
Practice Address - Phone:910-824-8032
Practice Address - Fax:910-401-1941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care