Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANNISSA NATONNIA GRAY
NPI 1508780867
Custodial Care Facility - Adult Care Home in Palm Coast, FL

Q: What is Annissa Gray's NPI number?

The NPI number for Annissa Gray is 1508780867. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Q: What is Annissa Gray's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Q: When was this NPI record last updated?

The NPPES record for Annissa Gray was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.

Active since August 07, 2026

18 LARAMIE DR, PALM COAST, FL 32137(386) 225-5542 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Annissa Natonnia Gray NPPES

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

ANNISSA NATONNIA GRAY (NPI 1508780867) is an individual adult care home provider in Palm Coast, Florida and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1508780867

Entity TypeIndividualFemale

Primary Taxonomy311ZA0620X

Provider Legal NameANNISSA NATONNIA GRAY

Location Address18 LARAMIE DRPalm Coast, FL 32137-9648

Mailing Address18 Laramie DrPalm Coast, FL 32137-9648 · (386) 225-5542

Phone(386) 225-5542

Sole ProprietorYes

Enumeration DateAugust 7, 2026

NPPES CertifiedAugust 7, 2026

✔ NPI 1508780867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

18 LARAMIE DR, Palm Coast, FL 32137

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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 Annissa Gray's NPI number?

The NPI number for Annissa Gray is 1508780867. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Annissa Gray located?

Annissa Gray practices at 18 Laramie Dr, Palm Coast, FL 32137. The listed phone number is (386) 225-5542.

What is Annissa Gray's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Annissa Gray was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.