Gracious Age Llc in Sanford - Assisted Living Facility
Gracious Age Llc - NPI 1669673521
Gracious Age Llc is a Assisted Living Facility in Sanford, Florida. Gracious Age Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Gracious Age Llc is 1669673521. The last update date is 2008-11-04.
Gracious Age Llc's current location address is 1401 S Magnolia Ave, Sanford, Florida. You can contact this provider via phone number 4073239914 and fax number 4073236310. The mailing address for Gracious Age Llc is 1401 S Magnolia Ave, Sanford, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gracious Age Llc |
|---|---|
| Address | 1401 S Magnolia Ave, Sanford, Florida |
| Phone Number | 4073239914 |
| Fax Number | 4073236310 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Carlos Jocelyn |
| Credentials | BSN RN |
| Telephone Number | 4073239914 |
NPI Number Detail
| NPI Number | 1669673521 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2008-11-04 |
Provider Mailing Address Detail
| Address | 1401 S Magnolia Ave |
|---|---|
| City | Sanford |
| State | Florida (FL) |
| Post Code | 327713400 |
| Phone Number | 4073239914 |
| Fax Number | 4073236310 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | AL10274 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 689602200 | FL | -- | |
| 142508100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Gracious Age Llc by the Centers for Medicare & Medicaid Services?
The Gracious Age Llc has been issued the NPI (National Provider Identifier) 1669673521. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Gracious Age Llc's facilities are geographically located?
The facilities of Gracious Age Llc are physically situated at the following location: 1401 S Magnolia Ave, Sanford, FL, 327713400.
What is the Gracious Age Llc's area of specialization and corresponding taxonomy classification?
The Gracious Age Llc's specialty field is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their specialties.
On what date did the Gracious Age Llc receive its 1669673521 assignment from the Centers for Medicare & Medicaid Services?
The Gracious Age Llc was assigned its 1669673521 by the Centers for Medicare & Medicaid Services on 2007-05-29.
As of what date were the Gracious Age Llc's details last updated?
The information pertaining to the Gracious Age Llc, including its address, specialty, and other details, was most recently updated on 2008-11-04.