# EMERALD GRACE HOMECARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033928569
- **Authorized official:** TIFFANY DANIELLE CARIGNAN (CEO)
- **Authorized official phone:** (706) 805-0782

## Contact information

- **Practice address:** 347 BOW DR, LAVONIA, GA 30553-3247
- **Practice address phone:** (678) 858-4232
- **Mailing address:** 347 BOW DR, LAVONIA, GA 30553-3247
- **Mailing address phone:** (706) 250-1347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2024
- **Last updated:** 06/16/2026
