Organization Active NPI

Gracious Life Care LLC

  • Independent Medical Examiner Physician
  • Poughkeepsie, NY
National Provider Identifier
1073483152
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner PhysicianTaxonomy code 202C00000X
Legal business name
GRACIOUS LIFE CARE LLC
Practice address
201 South Ave Ste 204
Poughkeepsie, NY 12601-4836
Phone
(646) 420-9805
NPI assigned
Nov 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Judith Adjei, FNP
Title
Ceo
Phone
(646) 420-9805

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Medical Examiner PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202C00000X Primary
Health Service Clinic/Center 261QH0100X
Occupational Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0106X

Addresses

Primary practice location

201 South Ave Ste 204
Poughkeepsie, NY 12601-4836

Mailing address

201 South Ave Ste 204
Poughkeepsie, NY 12601-4836
Phone (646) 420-9805

National Provider Directory

National Provider Directory

Locations

201 South Ave
Ste 204
Poughkeepsie, NY 12601
Phone (646) 420-9805

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1073483152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE STE 204",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014836",
            "telephone_number": "646-420-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SOUTH AVE STE 204",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014836",
            "telephone_number": "646-420-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "ADJEI",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-420-9805",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "202C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Independent Medical Examiner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.