Provider Demographics
NPI:1952285256
Name:LOVE OF GRACE LLC
Entity type:Organization
Organization Name:LOVE OF GRACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:XXX
Authorized Official - Middle Name:
Authorized Official - Last Name:SUJIL AUGUSTINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:226-378-1660
Mailing Address - Street 1:415 CURTIS PARKWAY SE UNIT-260
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701
Mailing Address - Country:US
Mailing Address - Phone:226-378-1660
Mailing Address - Fax:
Practice Address - Street 1:415 CURTIS PARKWAY SE UNIT-260
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:GA
Practice Address - Zip Code:30701
Practice Address - Country:US
Practice Address - Phone:226-378-1660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care