Organization Active NPI

Living Grace of Georgia LLC

Doing business as Grace Living PCH

  • Home Health Aide
  • Marietta, GA
National Provider Identifier
1033051479
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LIVING GRACE OF GEORGIA LLC
Doing business as
Grace Living PCH
Practice address
2417 Canton Rd
Marietta, GA 30066-5376
Phone
(678) 616-4822
Fax
(678) 929-9144
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Mr. David Woghiren
Title
Administrator
Phone
(678) 616-4822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2417 Canton Rd
Marietta, GA 30066-5376

Mailing address

2417 Canton Rd
Marietta, GA 30066-5376
Phone (678) 616-4822

Other names 1

  • Grace Living PCH Doing business as

National Provider Directory

National Provider Directory

Locations

2417 Canton Rd
Marietta, GA 30066
Phone (678) 616-4822

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1033051479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 CANTON RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665376",
            "telephone_number": "678-616-4822",
            "fax_number": "678-929-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 CANTON RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665376",
            "telephone_number": "678-616-4822",
            "fax_number": "678-929-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING GRACE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "WOGHIREN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-616-4822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Living PCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.