Organization Active NPI

Graceful Hands Personal Care Agency LLC

  • Home Health Agency
  • Racine, WI
National Provider Identifier
1104387364
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL HANDS PERSONAL CARE AGENCY LLC
Practice address
1700 Westlawn Ave
Racine, WI 53405-3878
Phone
(262) 583-1660
Fax
(262) 770-3150
NPI assigned
Mar 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Marsha Lynn JonesNPI 1154882413
Title
Adminstrator
Phone
(262) 583-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1700 Westlawn Ave
Racine, WI 53405-3878

Mailing address

3054 Erie St
Racine, WI 53402-4037
Phone (262) 902-4147

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1104387364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 ERIE ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534024037",
            "telephone_number": "262-902-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAWN AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053878",
            "telephone_number": "262-583-1660",
            "fax_number": "262-770-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDS PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "262-583-1660"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.