Organization · NPI-2

Abundance Of Grace Homecare

Home Health · Detroit, MI

NPI number1124996814
StatusActive
Last updated in NPPESJan 14, 2026

Details

NPI
1124996814
Entity type
Organization (NPI-2)
Legal business name
Abundance Of Grace Homecare
Organization subpart
No
Enumeration date
Oct 25, 2025
Certification date
Jan 14, 2026
Last updated
Jan 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
261QA0600X Clinic/Center, Adult Day Care––
251G00000X Hospice Care, Community Based––
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––
251C00000X Day Training, Developmentally Disabled Services––
253Z00000X In Home Supportive Care––
385H00000X Respite Care––
343900000X Non-emergency Medical Transport (VAN)––
315P00000X Intermediate Care Facility, Intellectual Disabilities––

Practice location

400 Renaissance Ctr
Detroit, MI 48243-1502

Phone 318-252-8839 · Fax 318-252-8840

Mailing address

717 Crockett St
Shreveport, LA 71101-3605

Phone 318-252-8839 · Fax 318-252-8840

Other practice locations

1201 Oakland Ave
Warner Robins, GA 31088-2210

Phone 318-252-8839 · Fax 318-252-8840

Authorized official

Geneva Victoria Smith
Owner/Ceo
3182528839

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