NPI 1053883488

Immanuels Grace Homecare INC

Organisation Home Health Aide Syracuse, NY

Practice location

Address: 321 Highland Ave, Syracuse, NY 13203-1607
Phone: (315) 883-0499
Fax: (315) 883-0594

Authorised official

Name: Ravi Gurung
Title: Secretary/Owner
Phone: (718) 808-2714

Registered specialties (4)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1053883488
Entity type: Organization
NPI issued: 24 Dec 2018
Record last updated: 24 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.