GRACE AT HOME PC NPI 1609736875

NPI Information

  • NPI: 1609736875
  • Provider Name: GRACE AT HOME PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 111 W. OCEAN BLVD
    FLOOR 4, ROOM 450
    LONG BEACH, CA
    ZIP 90802
  • Phone: (844) 401-4663

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NPI Details

GRACE AT HOME PC is a family medicine in Long Beach, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRACE AT HOME PC NPI is 1609736875. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

111 W. OCEAN BLVD
FLOOR 4, ROOM 450
LONG BEACH, CA
ZIP 90802
Phone: (844) 401-4663

The provider's authorized official is Rodney Armstead .
The authorized official title is Ceo and has the following contact phone number (716) 361-0591.

The enumeration date for this NPI number is 11/12/2025 and was last updated on 11/12/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyNo
2207R00000XInternal MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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: 11/21/2025

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