Provider Demographics
NPI:1336738434
Name:GRACEPOINT HOME CARE LLC
Entity Type:Organization
Organization Name:GRACEPOINT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MALONEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:025-143-1177
Mailing Address - Street 1:600 BEL AIR BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-3501
Mailing Address - Country:US
Mailing Address - Phone:251-415-5521
Mailing Address - Fax:251-206-0874
Practice Address - Street 1:600 BEL AIR BLVD STE 150
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-3501
Practice Address - Country:US
Practice Address - Phone:251-415-5521
Practice Address - Fax:251-206-0874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health