Aging Grace LLC
Aging Grace LLC is a healthcare organization registered as Assisted Living Facility in Jacksonville, FL, holding Type 2 (organization) NPI 1013397850 since 2015. The authorized official on file is Corey Bradford, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1013397850 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Aging Grace LLC |
| Other name | <Unavail> |
| Practice address | 2408 SOUTEL DR, Jacksonville, FL, 32208 |
| Phone | 9042370206 |
| Enumeration date | 2015-06-07 |
| Last updated in NPPES | 2015-06-07 |
Authorized official
| Name | Corey Bradford |
|---|---|
| Title | Owner |
| Phone | 9042370206 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | AL12669 | FL |
Copy-ready billing details
Provider: Aging Grace LLC NPI: 1013397850 Taxonomy: 310400000X (Assisted Living Facility) Address: 2408 SOUTEL DR, Jacksonville, FL, 32208
Verify this record
Cross-check NPI 1013397850 against the authoritative CMS record: view Aging Grace LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Aging Grace LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2015-06-07.