Active NPIOrganization

Nikky Grace Haven Homecare LLC

Home Health Aide in Waltham, Massachusetts

NPI Number1306796255
Practice location
100 Felton St Ste B, Waltham, MA 02453-4149
Fax
617-916-5094
Last updated
January 30, 2026

Nikky Grace Haven Homecare LLC is a healthcare organization based in Waltham, MA. Nikky Grace Haven Homecare LLC practices in Waltham, MA. The NPI Number for Nikky Grace Haven Homecare LLC is 1306796255. The current practice location address for Nikky Grace Haven Homecare LLC is 100 Felton St Ste B, Waltham, MA 02453-4149 and can be reached out via phone at 857-266-5649 and via fax at 617-916-5094.

Provider Profile Details

NPI Number
1306796255
Provider Name
Nikky Grace Haven Homecare LLC
Provider Entity Type
Organization
Address
100 Felton St Ste B, Waltham, MA 02453-4149
Phone Number
857-266-5649
Fax Number
617-916-5094
Primary Taxonomy
Home Health Aide · 374U00000X
Organization Subpart
No
Authorized Official
Mrs. Nicole Fleuridor · Ceo · 857-266-5649
Provider Enumeration Date
January 30, 2026
Last Update Date
January 30, 2026
Certification Date
January 29, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Felton St Ste B
Waltham, MA 02453-4149
Zip
02453-4149
Phone Number
857-266-5649
Fax Number
617-916-5094
Waltham, MA 02453Get directions →

Provider Business Mailing Address Details

Address
188 Ridge Ln Apt 111
Waltham, MA 02452-4941
City
Waltham
State
MA
Zip
02452-4941
Phone Number
857-266-5649
Fax Number
617-916-5094

License Information

Taxonomy
Home Health Aide · 374U00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nikky Grace Haven Homecare LLC?

The NPI number of Nikky Grace Haven Homecare LLC is 1306796255. It was assigned on January 30, 2026 and is currently active in the NPPES registry.

What is the specialty of Nikky Grace Haven Homecare LLC?

Nikky Grace Haven Homecare LLC is registered under the primary taxonomy Home Health Aide (code 374U00000X).

Where does Nikky Grace Haven Homecare LLC practice?

The practice location is 100 Felton St Ste B, Waltham, MA 02453-4149. The office can be reached at 857-266-5649 (phone) or 617-916-5094 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306796255 directly on the NPPES registry website.

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