Organization Active NPI

Graceful Hearts Assisted Living, LLC

  • Assisted Living Facility
  • Centennial, CO
National Provider Identifier
1093339665
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GRACEFUL HEARTS ASSISTED LIVING, LLC
Practice address
6780 E Lake Cir
Centennial, CO 80111-4410
Phone
(720) 242-7960
NPI assigned
May 30, 2020
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Mary Grace Pagibigan
Title
Administrator
Phone
(309) 558-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6780 E Lake Cir
Centennial, CO 80111-4410

Mailing address

2864 S Jebel Way
Aurora, CO 80013-9006

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Centennial

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1093339665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2864 S JEBEL WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800139006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6780 E LAKE CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114410",
            "telephone_number": "720-242-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HEARTS ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-30",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "PAGIBIGAN",
        "authorized_official_first_name": "MARY GRACE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "309-558-4725"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Centennial",
            "affiliation": "N",
            "address_1": "6780 E Lake Cir",
            "city": "Centennial",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801114410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.