GRACE HAVEN HOME LLC; NPI #1952253163

Contact Information

GRACE HAVEN HOME LLC

4767 HOUSTON RD APT 3113
FLORENCE, KY 41042-4815

Phone: 678-368-0359
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Intellectual & Developmental Disabilities	103TM1800X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for GRACE HAVEN HOME LLC

NPI #	`1952253163`
LBN Legal business name	GRACE HAVEN HOME LLC
Authorized official	LENA BREWER - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/11/2026
Last updated	02/11/2026 - About 4 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GRACE HAVEN HOME LLC

Contact Information

Specialty

Intellectual & Developmental Disabilities

NPI Profile & details for GRACE HAVEN HOME LLC

Reviews for GRACE HAVEN HOME LLC