Provider Demographics
NPI:1841810710
Name:GRACEFULLY MEEK HOMEMAKER & COMPANION SERVICES LLC
Entity type:Organization
Organization Name:GRACEFULLY MEEK HOMEMAKER & COMPANION SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOBLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-215-3268
Mailing Address - Street 1:319 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32626-0415
Mailing Address - Country:US
Mailing Address - Phone:352-215-3268
Mailing Address - Fax:
Practice Address - Street 1:319 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626-0415
Practice Address - Country:US
Practice Address - Phone:352-215-3268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-21
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106001700Medicaid
FL236619OtherAHCA