Graceful Ventures Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACEFUL VENTURES HOME HEALTH CARE LLC

Practice address

1038 Lincoln Ave FL 1
Prospect Park, PA 19076-2218

Phone

(267) 206-7591

NPI assigned

Jan 2, 2025

Organization subpart

No

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

Authorized official

Name

Michael K Gbenga

Title

President

Phone

(215) 730-3044

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Home health agency certification: CCN 398403

Legal name

GRACEFUL VENTURES HOME HEALTH CARE, LLC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 12, 2026

Last certification

Feb 27, 2026

Facility address

1038 Lincoln Avenue
Prospect Park, PA 19076

Locations

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1073322293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 LINCOLN AVE FL 1",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762218",
            "telephone_number": "267-206-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 LINCOLN AVE FL 1",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762218",
            "telephone_number": "267-206-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL VENTURES HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "GBENGA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-730-3044"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Fetters
• Joyce Ridgeway Foresman-Capuzzi, CNS
• Shweta Gandhi, D.M.D.
• Jared Gittleman, D.M.D.
• Cherise Glover, CRNP
• Caroline Stuart Green, OTR/L
• Michael Alan Green, D.M.D.
• Amanda Habovick Scisciani, LPC
• Health Access Network
• Genevieve Hellings-Sude, LMFT

• Home Health Agency in Prospect Park, PA
• Providers in Prospect Park, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.