Active NPI
Graceful Living Residential Care, LLC
- In Home Supportive Care Agency
- Nashville, TN
National Provider Identifier
1063257699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ethiopia Worku Gezahagn
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Home Health Agency
- Antioch, TN
- NPI 1992238240
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.