National Provider Identifier Database

GRACE HAVEN HOME LLC
Intellectual & Developmental Disabilities


Contact Information

GRACE HAVEN HOME LLC
4767 HOUSTON RD APT 3113
FLORENCE, KY41042-4815
Phone: 678-368-0359
Fax:
Website:
Specialty Taxonomy Code
* Intellectual & Developmental Disabilities 103TM1800X

* Indicates primary specialty

NPI Profile & details for GRACE HAVEN HOME LLC

NPI Number 1952253163
Legal business name
LBN
GRACE HAVEN HOME LLC
Authorized official LENA BREWER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 02/11/2026
Last updated 02/11/2026 - About 4 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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