GRACE HOME LIVING FACILITY LLC
NPI 1467821512
Assisted Living Facility in Jacksonville, FL

Q: What is Grace Home Living Facility LLC's NPI number?

The NPI number for Grace Home Living Facility LLC is 1467821512. It was assigned to this organization in the NPPES registry on September 18, 2015.

Q: What is Grace Home Living Facility LLC's specialty?

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

Active since September 18, 2015

2821 HUNT ST, JACKSONVILLE, FL 32254(904) 379-6710 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Grace Home Living Facility Llc NPPES

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

GRACE HOME LIVING FACILITY LLC (NPI 1467821512) is a healthcare organization registered as an assisted living facility in Jacksonville, Florida and active in the NPI registry since September 2015. The organization lists Collette Katrell Holmes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1467821512

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameGRACE HOME LIVING FACILITY LLC

Location Address2821 HUNT STJacksonville, FL 32254-4003

Mailing Address2821 Hunt StJacksonville, FL 32254-4003 · (904) 379-6710

Phone(904) 379-6710

Organization SubpartNo

Authorized OfficialCollette Katrell HolmesAdministrator · (904) 673-7212

Enumeration DateSeptember 18, 2015

✔ NPI 1467821512 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 · AL12677

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.

2821 HUNT ST, Jacksonville, FL 32254

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Other Identifiers 1

Medicaid015058700FL

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.

J & J HOLISTIC CARE CENTER

Assisted Living Facility

2821 HUNT ST
JACKSONVILLE, FL 32254

Duval County (904) 619-5414

COLLETTE KATRELL HOLMES

Community Based Residential Treatment Facility, Mental Illness

2821 HUNT ST
JACKSONVILLE, FL 32254

Duval County (904) 673-7212

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 Home Living Facility LLC's NPI number?

The NPI number for Grace Home Living Facility LLC is 1467821512. It was assigned to this organization in the NPPES registry on September 18, 2015.

Where is Grace Home Living Facility LLC located?

Grace Home Living Facility LLC is located at 2821 Hunt St, Jacksonville, FL 32254. The listed phone number is (904) 379-6710.

What is Grace Home Living Facility 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 Home Living Facility LLC was last updated on September 18, 2015. 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.