Graceland Nursing Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

326 Issued in TN

Legal business name

GRACELAND NURSING CENTER, LLC

Practice address

1250 Farrow Rd
Memphis, TN 38116-7116

Phone

(901) 332-7290

Fax

(901) 332-7380

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Marla Page Scannicchio

Title

VP/Director of Accounting

Phone

(225) 766-3977

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063445914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 FARROW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167116",
            "telephone_number": "901-332-7290",
            "fax_number": "901-332-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 FARROW RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167116",
            "telephone_number": "901-332-7290",
            "fax_number": "901-332-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND NURSING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCANNICCHIO",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "VP/DIRECTOR OF ACCOUNTING",
        "authorized_official_telephone_number": "225-766-3977",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7440566",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0445331",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grace-N-Mercy Home Service
• Trayl Grace, DO
• Graceage Cares LLC
• Graceful Comfort Home Care Service, LLC
• Graceland Internal Medicine
• Graceland Nursing Operator LLC
• Carolyn M Gracia, APRN
• Joel Francis Gradowski, M.D.
• Gradually Restoring Our Walk Inc (GROW, Inc)
• Mary Kathryn Grady, CRNA

• Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.