Graceful Aging LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACEFUL AGING LLC

Practice address

881 Merrick Rd
Baldwin, NY 11510-3331

Phone

(917) 209-6283

NPI assigned

Jun 11, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Adeyinka T Adegbenle, MBA

Title

Ceo

Phone

(917) 209-6283

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Adewale Adegbenle, LCSW., MSW

  • Social Worker
  • Baldwin, NY
  • NPI 1801219290
  NPD (past)

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1033557095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTRAL AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103648",
            "telephone_number": "516-377-0057",
            "fax_number": "516-377-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MERRICK RD",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103331",
            "telephone_number": "917-209-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL AGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-11",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "ADEGBENLE",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-209-6283",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine R. Gonzalez
• Adel Gorgy, M.D.
• Sandhyia Gosine
• Madhulika Goyal, MD
• Sanjay Goyal, M.D.
• Patricia Graham, NP
• Grand Medical Baldwin
• Grand Medical Services, PC
• Grand RX, LLC
• Thelma B Grant

• Adult Day Care Clinic/Center in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Adult Day Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; 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.