GRACE ASSISTED LIVING, LLC
NPI 1194177097
Assisted Living Facility in Port Charlotte, FL

Q: What is Grace Assisted Living, LLC's NPI number?

The NPI number for Grace Assisted Living, LLC is 1194177097. It was assigned to this organization in the NPPES registry on July 5, 2016.

Q: What is Grace Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since July 05, 2016

22091 PEACHLAND BLVD, PORT CHARLOTTE, FL 33954(941) 766-7178(941) 621-4975 Get Directions Write a Review

NPPES record last updated: July 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Assisted Living, Llc NPPES

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

GRACE ASSISTED LIVING, LLC (NPI 1194177097) is a healthcare organization registered as an assisted living facility in Port Charlotte, Florida and active in the NPI registry since July 2016. The organization lists Grace H Cooper, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1194177097

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGRACE ASSISTED LIVING, LLC

Location Address22091 PEACHLAND BLVDPort Charlotte, FL 33954-3352

Mailing Address16658 San Edmundo RdPunta Gorda, FL 33955-4040 · (646) 220-6106 · Fax (941) 621-4975

Phone(941) 766-7178

Fax(941) 621-4975

Organization SubpartNo

Authorized OfficialGrace H CooperOwner/administrator · (941) 766-7178

Enumeration DateJuly 5, 2016

✔ NPI 1194177097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in FL · AL12849

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.

Also ListedAssisted Living Facility · Assisted Living, Mental IllnessTaxonomy 3104A0625X · License AL12849 (FL)

22091 PEACHLAND BLVD, Port Charlotte, FL 33954

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Other Providers at the Same Location NPPES 2

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

GRACE H COOPER

Home Health

22091 PEACHLAND BLVD
PORT CHARLOTTE, FL 33954

Charlotte County (646) 220-6106

GRACE ANGELS HOME CARE LLC

Home Health

22091 PEACHLAND BLVD
PORT CHARLOTTE, FL 33954

Charlotte County (646) 220-6106

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 Grace Assisted Living, LLC's NPI number?

The NPI number for Grace Assisted Living, LLC is 1194177097. It was assigned to this organization in the NPPES registry on July 5, 2016.

Where is Grace Assisted Living, LLC located?

Grace Assisted Living, LLC is located at 22091 Peachland Blvd, Port Charlotte, FL 33954. The listed phone number is (941) 766-7178.

What is Grace Assisted Living, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Grace Assisted Living, LLC was last updated on July 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.