Organization Active NPI

Maturing Gracefully, LLC

  • Case Management Agency
  • Randolph, MA
National Provider Identifier
1023490810
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MATURING GRACEFULLY, LLC
Practice address
10 Mazzeo Dr Ste 203
Randolph, MA 02368-3433
Phone
(781) 897-5711
Fax
(781) 897-5711
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Amy Bacon, R.N.
Title
Ceo
Phone
(781) 897-5711

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

10 Mazzeo Dr Ste 203
Randolph, MA 02368-3433

Mailing address

473 Ashley Blvd
New Bedford, MA 02745-5307
Phone (781) 897-5711

National Provider Directory

National Provider Directory

Locations

10 Mazzeo Dr
Ste 203
Randolph, MA 02368
Phone (617) 516-7102

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1023490810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 ASHLEY BLVD",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027455307",
            "telephone_number": "781-897-5711",
            "fax_number": "781-897-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAZZEO DR STE 203",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023683433",
            "telephone_number": "781-897-5711",
            "fax_number": "781-897-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATURING GRACEFULLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "781-897-5711",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.