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Organization
GRACESTAR HOME HEALTH LLC
Active
Organization
GRACESTAR HOME HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABENA OWUSU-SEKYERE (CEO)
(571) 221-4656
Entity
Organization
Contact information
Practice address
17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5168
(571) 221-4656
Mailing address
17300 RIVER RIDGE BLVD STE 201, WOODBRIDGE, VA 22191-5168
(571) 221-4656
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
NULL
163WH0200X
Home Health Registered Nurse
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
3747P1801X
Personal Care Attendant
—
NULL
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
385H00000X
Respite Care
—
NULL
385HR2050X
Respite Care Camp
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
03/25/2024
Last updated
01/27/2025
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