Organization · NPI-2

Greater Grace Private Care LLC

Home Health · Albany, GA

NPI number1952040487
StatusActive
Last updated in NPPESOct 13, 2025

Details

NPI
1952040487
Entity type
Organization (NPI-2)
Legal business name
Greater Grace Private Care LLC
Organization subpart
No
Enumeration date
Jun 2, 2022
Certification date
Oct 13, 2025
Last updated
Oct 13, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
253Z00000X In Home Supportive Care––
251J00000X Nursing Care––

Practice location

5425 Newton Rd Ste 4
Albany, GA 31701-7405

Phone 229-310-9479

Mailing address

5425 Newton Rd Ste 4
Albany, GA 31701-7405

Phone 229-310-9479

Authorized official

Shwana Lashon Jay
Ceo/Owner
2293109479

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