Organization Active NPI

Pure Grace Homecare LLC

  • In Home Supportive Care Agency
  • Perry Hall, MD
National Provider Identifier
1033014477
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PURE GRACE HOMECARE LLC
Practice address
4246 Forge Rd
Perry Hall, MD 21128-9510
Phone
(717) 881-0575
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Ms. Staci BeasleyNPI 1891411229
Title
Ceo/Administrator
Phone
(717) 881-0575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4246 Forge Rd
Perry Hall, MD 21128-9510

Mailing address

4246 Forge Rd
Perry Hall, MD 21128-9510
Phone (717) 881-0575

National Provider Directory

National Provider Directory
Tax ID family
Pure Grace Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1033014477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 FORGE RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289510",
            "telephone_number": "717-881-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 FORGE RD",
            "city": "PERRY HALL",
            "state": "MD",
            "postal_code": "211289510",
            "telephone_number": "717-881-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE GRACE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "BEASLEY",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "717-881-0575",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.