Active NPI
Living Grace of Georgia LLC
Doing business as Grace Living PCH
- Home Health Aide
- Marietta, GA
National Provider Identifier
1033051479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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
National Provider Directory
National Provider DirectoryLocations
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.