Organization Active NPI

Gracious Life, LLC

  • Voluntary or Charitable Agency
  • Cleveland, OH
National Provider Identifier
1093073983
Registry record updated Apr 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
GRACIOUS LIFE, LLC
Practice address
1500 Detroit Ave
319
Cleveland, OH 44113-2444
Phone
(216) 894-1566
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2012

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

Authorized official

Name
Silvia Donofrio
Title
Owner
Phone
(216) 894-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1500 Detroit Ave
319
Cleveland, OH 44113-2444

Mailing address

1500 Detroit Ave
319
Cleveland, OH 44113-2444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335484800000",
    "number": "1093073983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DETROIT AVE",
            "address_2": "319",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DETROIT AVE",
            "address_2": "319",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441132444",
            "telephone_number": "216-894-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A",
        "authorized_official_last_name": "DONOFRIO",
        "authorized_official_first_name": "SILVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-894-1566"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.