GRACEWAY HEALTH CARE LLC
NPI 1417779083
Internal Medicine in Clinton, MD

Q: What is Graceway Health Care LLC's NPI number?

The NPI number for Graceway Health Care LLC is 1417779083. It was assigned to this organization in the NPPES registry on October 25, 2024. The provider is also known as Graceway Health Care, LLC Clinton.

Q: What is Graceway Health Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 25, 2024

9106 PINE VIEW LN, CLINTON, MD 20735(667) 300-8222 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Nov 21, 2024 (2 updates tracked since 2024).

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About Graceway Health Care Llc NPPES

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

GRACEWAY HEALTH CARE LLC (NPI 1417779083) is a healthcare organization registered as an internal medicine in Clinton, Maryland and active in the NPI registry since October 2024. The organization lists Krystle D Brown, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1417779083

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameGRACEWAY HEALTH CARE LLC

Location Address9106 PINE VIEW LNClinton, MD 20735-3229

Mailing Address10259 Cabery RdEllicott City, MD 21042-1605 · (410) 870-9380

Phone(667) 300-8222

Organization SubpartNo

Authorized OfficialKrystle D BrownPractice Administrator · (410) 800-6251

Enumeration DateOctober 25, 2024

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1417779083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

9106 PINE VIEW LN, Clinton, MD 20735

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Other Names 1

Other NameGraceway Health Care, Llc Clinton

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

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