Gracious Home Health Agency and Medical Supply Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACIOUS HOME HEALTH AGENCY AND MEDICAL SUPPLY INC

Practice address

4731 N Galloway Ave
Suite 103
Mesquite, TX 75150-1512

Phone

(214) 982-1598

NPI assigned

Nov 25, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Emeka Aghaziem

Title

Administrator

Phone

(214) 982-1598

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1053649319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 N GALLOWAY AVE",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4731 N GALLOWAY AVE",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501512",
            "telephone_number": "214-982-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HOME HEALTH AGENCY AND MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "AGHAZIEM",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "EMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-982-1598",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Micah Gorena, DPT
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• Greater Lewisville Therapy Center Inc (Greater Therapy Centers)

• Home Health Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.