Organization Active NPI

Graceful Living Residential Care, LLC

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1063257699
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFUL LIVING RESIDENTIAL CARE, LLC
Practice address
325 Plus Park Blvd Ste 101F
Nashville, TN 37217-1022
Phone
(615) 424-4507
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Ethiopia Worku GezahagnNPI 1992238240
Title
Executive Director
Phone
(615) 424-4507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

325 Plus Park Blvd Ste 101F
Nashville, TN 37217-1022

Mailing address

325 Plus Park Blvd Ste 101F
Nashville, TN 37217-1022
Phone (615) 424-4507

National Provider Directory

National Provider Directory

Locations

325 Plus Park Blvd
Ste 101F
Nashville, TN 37217
Phone (615) 424-4507

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1063257699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD STE 101F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171022",
            "telephone_number": "615-424-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 PLUS PARK BLVD STE 101F",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372171022",
            "telephone_number": "615-424-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GEZAHAGN",
        "authorized_official_first_name": "ETHIOPIA",
        "authorized_official_middle_name": "WORKU",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "615-424-4507"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.