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GRACEFUL AGING HOME CARE INC. NPI 1053795732


NPI Information

NPI: 1053795732
Provider Name: GRACEFUL AGING HOME CARE INC.

Doing Business As: AGE ADVANTAGE SENIOR CARE SERVICES

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
228 N LYNNHAVEN RD
SUITE 106
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 340-3315
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GRACEFUL AGING HOME CARE INC. is an in home supportive care in Virginia Beach, VA. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. GRACEFUL AGING HOME CARE INC. NPI is 1053795732. The provider is registered as an organization entity type.
The provider Is Doing Business As Age Advantage Senior Care Services.

The provider's business location address is:

228 N LYNNHAVEN RD
SUITE 106
VIRGINIA BEACH, VA
ZIP 23452-514
Phone: (757) 340-3315
Fax: (757) 340-3317

The provider's authorized official is Vincent R. Medina .
The authorized official title is President and has the following contact phone number (757) 340-3315.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 7/13/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive CareHCO-151016VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10171722397OTHERVIRGINIAMEDICAID API NUMBER FOR PERSONAL CARE
20171721910OTHERVIRGINIAMEDICAID API NUMBER FOR RESPITE CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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