Provider Demographics
NPI:1922985837
Name:GRACE CARE HOME HEALTH LLC
Entity type:Organization
Organization Name:GRACE CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ CUESTA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-408-3435
Mailing Address - Street 1:3900 WOODLAKE BLVD STE 207-1
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33463-3044
Mailing Address - Country:US
Mailing Address - Phone:561-408-3435
Mailing Address - Fax:561-408-3774
Practice Address - Street 1:3900 WOODLAKE BLVD STE 207-1
Practice Address - Street 2:
Practice Address - City:GREENACRES
Practice Address - State:FL
Practice Address - Zip Code:33463-3044
Practice Address - Country:US
Practice Address - Phone:561-408-3435
Practice Address - Fax:561-408-3774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health