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Organization
GRACE PROVIDERS HOME HEALTH CARE INC.
Active
Organization
GRACE PROVIDERS HOME HEALTH CARE INC.
Active
Other names
Amivie
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
5510 CHEROKEE AVE, SUITE 250, ALEXANDRIA, VA 22312-2320
(703) 845-2785
(571) 282-4446
Mailing address
4000 PARAMOUNT PARKWAY, SUITE 100, MORRISVILLE, NC 27560-4702
(919) 390-2980
(919) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HCO-151156
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HCO-0001156
VA DEPT OF HEALTH- HCO LICENSE
VA
Enumeration date
09/20/2014
Last updated
08/13/2026
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