Gracefull, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACEFULL, LLC

Doing business as

Premier Home Health Agency

Practice address

4100 E Piedras Dr # 212
San Antonio, TX 78228-1401

Phone

(210) 415-7522

Fax

(210) 510-2912

NPI assigned

Mar 24, 2016

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vanessa M Villa-Senor Kelley

Title

Ceo

Phone

(210) 415-7522

Specialties & licenses 2

Addresses

Other names 1

• Premier Home Health Agency Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1093177487. Details of each certification follow.

• CCN 679655 Home health agency · Active · Details
• CCN E21520 Hospice · Active · Name & address match · Details

Home health agency certification: CCN 679655

Legal name

GRACEFULL, LLC

Doing business as

PREMIER HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 20, 2007

Last certification

Oct 18, 2019

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

in TX

Enrollment address

4100 E Piedras Dr
Ste 212
San Antonio, TX 78228-1401

Hospice certification: CCN E21520

Legal name

PREMIER HOME HEALTH AGENCY

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 28, 2026

Last certification

Apr 2, 2026

Ownership / control type

Proprietary - Corporation

Facility address

4100 E Piedras Dr, Ste 212
San Antonio, TX 78228

Listed as

Premier Home Health AgencyCCN 679655 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

Jul 20, 2007

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vanessa Lee, M.D.

  • Family Medicine Physician
  • Acworth, GA
  • NPI 1497716377

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Change-of-ownership history 1

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ramon Victor Sanchez, MD

  • Psychiatry Physician
  • San Antonio, TX
  • NPI 1063404408

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1093177487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 WELCH FLS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782544443",
            "telephone_number": "210-415-7522",
            "fax_number": "210-510-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR # 212",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-415-7522",
            "fax_number": "210-510-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "VILLA-SENOR KELLEY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-415-7522"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gerard A Grace
• Kelsey Grace
• Mary Catherine Grace, PA
• Gracefill Home Health Agency Inc.
• Graceful Hospice and Palliative Care LLC
• Gracehill Senior Living Home (Success on The Spectrum)
• Graceland Psychiatric and Neuromodulation Center PLLC
• Graceland Psychiatry Solutions PLLC
• Camila Beatriz Gracia, LMFT
• Christina Marie Gracia, LPC

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.