Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Assisted Living, LLC

Organization Assisted Living Facility · NPI 1194177097

Grace Assisted Living, LLC is an Assisted Living Facility in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

22091 Peachland Blvd
Port Charlotte, FL 33954-3352
Phone: (941) 766-7178
Fax: (941) 621-4975
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL12849 (FL)
Assisted Living Facility (Mental Illness) Taxonomy 3104A0625X · Licence AL12849 (FL)

Record details

NPI number1194177097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Cooper — Owner/Administrator · (941) 766-7178
NPI enumeratedJuly 5, 2016
Last updated in NPPESJuly 5, 2016
Mailing address16658 San Edmundo Rd, Punta Gorda, FL 33955-4040

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