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GRACIOUS AGE LLC
NPI 1669673521
Assisted Living Facility in Sanford, FL

Active since May 29, 2007
1401 S MAGNOLIA AVE, SANFORD, FL 32771(407) 323-9914(407) 323-6310 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gracious Age Llc NPPES

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

GRACIOUS AGE LLC (NPI 1669673521) is a healthcare organization registered as an assisted living facility in Sanford, Florida and active in the NPI registry since May 2007. The organization lists Jocelyn Carlos, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669673521
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACIOUS AGE LLC
Location Address1401 S MAGNOLIA AVESanford, FL 32771-3400
Mailing Address1401 S Magnolia AveSanford, FL 32771-3400 · (407) 323-9914 · Fax (407) 323-6310
Phone(407) 323-9914
Fax(407) 323-6310
Organization SubpartNo
Authorized OfficialJocelyn CarlosAdministrator · (407) 323-9914
Enumeration DateMay 29, 2007
Last NPPES UpdateNovember 4, 2008
✔ NPI 1669673521 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 · AL10274
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.

1401 S MAGNOLIA AVE, Sanford, FL 32771
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Other Identifiers 2

Medicaid142508100FL
Medicaid689602200FL

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 Gracious Age LLC's NPI number?

The NPI number for Gracious Age LLC is 1669673521. It was assigned to this organization in the NPPES registry on May 29, 2007.

Where is Gracious Age LLC located?

Gracious Age LLC is located at 1401 S Magnolia Ave, Sanford, FL 32771. The listed phone number is (407) 323-9914.

What is Gracious Age 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 Gracious Age LLC was last updated on November 4, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.