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

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: July 19, 2026.

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

What is GRACE ASSISTED LIVING, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1194177097, enumerated as an "organization" on July 05, 2016.

Where is the provider located?

The provider is located at 22091 PEACHLAND BLVD PORT CHARLOTTE, FL 33954 and the phone number is (941) 766-7178.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.