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ANGELS OF GRACE WELLNESS LLC
NPI 1609629377
Nurse Practitioner - Family in Valley Stream, NY

Active since April 10, 2024
17 FIRETHORNE LN, VALLEY STREAM, NY 11581(516) 847-2418(970) 233-4556 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2026, Apr 10, 2024 (2 updates tracked since 2024).

About Angels Of Grace Wellness Llc NPPES

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

ANGELS OF GRACE WELLNESS LLC (NPI 1609629377) is a healthcare organization registered as a family in Valley Stream, New York and active in the NPI registry since April 2024. The organization lists Grace Olamijulo, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609629377
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameANGELS OF GRACE WELLNESS LLC
Location Address17 FIRETHORNE LNValley Stream, NY 11581-1727
Mailing Address17 Firethorne LnValley Stream, NY 11581-1727 · (516) 847-2418 · Fax (970) 233-4556
Phone(516) 847-2418
Fax(970) 233-4556
Organization SubpartNo
Authorized OfficialGrace OlamijuloCeo · (516) 847-2418
Enumeration DateApril 10, 2024
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1609629377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
17 FIRETHORNE LN, Valley Stream, NY 11581
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Other Names 1

Other NameAngels Of Grace Wellness Llc

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 2

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

NURSE NEIGHBOR RN NP FAMILY HEALTH PLLC
Home Health
17 FIRETHORNE LN
VALLEY STREAM, NY 11581
Nassau County (516) 847-2418
GRACE OLAMIJULO FNP
Nurse Practitioner (Family)
17 FIRETHORNE LN
VALLEY STREAM, NY 11581
Nassau County (516) 847-2418

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 Angels Of Grace Wellness LLC's NPI number?

The NPI number for Angels Of Grace Wellness LLC is 1609629377. It was assigned to this organization in the NPPES registry on April 10, 2024.

Where is Angels Of Grace Wellness LLC located?

Angels Of Grace Wellness LLC is located at 17 Firethorne Ln, Valley Stream, NY 11581. The listed phone number is (516) 847-2418.

What is Angels Of Grace Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Angels Of Grace Wellness LLC was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.