Provider Demographics
NPI:1801767629
Name:NU GRACE FAMILY CARE LLC
Entity type:Organization
Organization Name:NU GRACE FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:909-637-6520
Mailing Address - Street 1:101 CONVENTION CENTER DR STE 900
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2039
Mailing Address - Country:US
Mailing Address - Phone:844-684-7223
Mailing Address - Fax:909-300-6327
Practice Address - Street 1:101 CONVENTION CENTER DR STE 900
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2039
Practice Address - Country:US
Practice Address - Phone:844-684-7223
Practice Address - Fax:909-300-6327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NU GRACE FAMILY CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care