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SUPREME GRACE AND FAVOR HOME CARE LLC
NPI 1073480083
Technician - Personal Care Attendant in Pittsboro, IN

Active since October 22, 2025
847 DECLARATION DR, PITTSBORO, IN 46167(317) 454-6582(317) 641-2213 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Supreme Grace And Favor Home Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPREME GRACE AND FAVOR HOME CARE LLC (NPI 1073480083) is a healthcare organization registered as a personal care attendant in Pittsboro, Indiana and active in the NPI registry since October 2025. The organization lists Grace Olanusi, Manager, as its authorized official.

NPPES Registry Identity

NPI1073480083
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameSUPREME GRACE AND FAVOR HOME CARE LLC
Location Address847 DECLARATION DRPittsboro, IN 46167-8834
Mailing Address847 Declaration DrPittsboro, IN 46167-8834 · (317) 454-6582 · Fax (317) 641-2213
Phone(317) 454-6582
Fax(317) 641-2213
Organization SubpartNo
Authorized OfficialGrace OlanusiManager · (317) 454-6582
Enumeration DateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1073480083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

847 DECLARATION DR, Pittsboro, IN 46167
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE MODOLANI OLANUSI
Technician (Personal Care Attendant)
847 DECLARATION DR
PITTSBORO, IN 46167
Hendricks County (317) 454-6582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supreme Grace And Favor Home Care LLC's NPI number?

The NPI number for Supreme Grace And Favor Home Care LLC is 1073480083. It was assigned to this organization in the NPPES registry on October 22, 2025.

Where is Supreme Grace And Favor Home Care LLC located?

Supreme Grace And Favor Home Care LLC is located at 847 Declaration Dr, Pittsboro, IN 46167. The listed phone number is (317) 454-6582.

What is Supreme Grace And Favor Home Care LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Supreme Grace And Favor Home Care LLC was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.