Organization Active NPI

Graceful Care Agency

  • Home Health Agency
  • West Chester, OH
National Provider Identifier
1013258094
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL CARE AGENCY
Practice address
8899 Brookside Ave
Suite 204
West Chester, OH 45069-7112
Phone
(513) 777-2338
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grace N Kanbi, LPN
Title
Co-Owner
Phone
(513) 777-2338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

8899 Brookside Ave
Suite 204
West Chester, OH 45069-7112

Mailing address

8899 Brookside Ave
Suite 204
West Chester, OH 45069-7112
Phone (513) 777-2338

Other identifiers 1

IdentifierTypeStateIssuer
0084767MedicaidOH

National Provider Directory

National Provider Directory

Locations

8899 Brookside Ave
Ste 204
West Chester, OH 45069
Phone (513) 777-2338

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1013258094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 BROOKSIDE AVE",
            "address_2": "SUITE 204",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697112",
            "telephone_number": "513-777-2338",
            "fax_number": "513-777-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 BROOKSIDE AVE",
            "address_2": "SUITE 204",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450697112",
            "telephone_number": "513-777-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "KANBI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-777-2338",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.