Active NPI
Gracious Life Care LLC
- Independent Medical Examiner Physician
- Poughkeepsie, NY
National Provider Identifier
1073483152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Medical Examiner Physician | 202C00000X | Primary | ||
| Health Service Clinic/Center | 261QH0100X | |||
| Occupational Health Nurse Practitioner | 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 DirectoryLocations
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.