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AMAZING GRACE ASSISTED LIVING HOME III LLC
NPI 1356834311
Assisted Living Facility in Lake Clarke Shores, FL

Active since June 13, 2018
1851 EVERGREEN DR, LAKE CLARKE SHORES, FL 33406(561) 642-4221 Get Directions Write a Review

NPPES record last updated: June 13, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Amazing Grace Assisted Living Home Iii Llc NPPES

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

AMAZING GRACE ASSISTED LIVING HOME III LLC (NPI 1356834311) is a healthcare organization registered as an assisted living facility in Lake Clarke Shores, Florida and active in the NPI registry since June 2018. The organization lists Debbie Lytle, Owner, as its authorized official.

NPPES Registry Identity

NPI1356834311
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAMAZING GRACE ASSISTED LIVING HOME III LLC
Location Address1851 EVERGREEN DRLake Clarke Shores, FL 33406-5231
Mailing Address1851 Evergreen DrLake Clarke Shores, FL 33406-5231
Phone(561) 642-4221
Organization SubpartNo
Authorized OfficialDebbie LytleOwner · (561) 818-5790
Enumeration DateJune 13, 2018
✔ NPI 1356834311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · 12836
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.
1851 EVERGREEN DR, Lake Clarke Shores, FL 33406
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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 Amazing Grace Assisted Living Home III LLC's NPI number?

The NPI number for Amazing Grace Assisted Living Home III LLC is 1356834311. It was assigned to this organization in the NPPES registry on June 13, 2018.

Where is Amazing Grace Assisted Living Home III LLC located?

Amazing Grace Assisted Living Home III LLC is located at 1851 Evergreen Dr, Lake Clarke Shores, FL 33406. The listed phone number is (561) 642-4221.

What is Amazing Grace Assisted Living Home III 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 Amazing Grace Assisted Living Home III LLC was last updated on June 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.