Provider Demographics
NPI:1861082778
Name:GROWTH AND INDEPENDENCE LLC
Entity type:Organization
Organization Name:GROWTH AND INDEPENDENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARKEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-805-0724
Mailing Address - Street 1:2600 MICHIGAN AVE UNIT 452146
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-1937
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:233 GARDENIA RD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-6334
Practice Address - Country:US
Practice Address - Phone:407-309-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health