Provider Demographics
NPI:1558174292
Name:NURTURING GRACE FAMILY HOME CARE
Entity type:Organization
Organization Name:NURTURING GRACE FAMILY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:L
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINSTRATOR
Authorized Official - Phone:704-406-9609
Mailing Address - Street 1:1809 OAKHURST DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28152-7907
Mailing Address - Country:US
Mailing Address - Phone:704-406-9609
Mailing Address - Fax:704-406-9609
Practice Address - Street 1:1809 OAKHURST DR
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28152-7907
Practice Address - Country:US
Practice Address - Phone:704-406-9609
Practice Address - Fax:704-406-9609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility