OrganizationActive
Aging Grace LLC
NPI 1013397850 · Assisted Living Facility · Jacksonville, FL
Provider details
- NPI number
- 1013397850
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Corey Bradford, Owner(904) 237-0206
- License
- AL12669 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2408 Soutel Dr
Jacksonville, FL 32208-5512
Phone: (904) 237-0206
Street-level locationGet directions
Mailing address
2408 Soutel Dr
Jacksonville, FL 32208-5512
Other names (DBA / former)
- Doing business as
- The Inn at Aging Grace
Registry dates
- Enumerated
- 2015-06-07
- Last updated
- 2015-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.