Organization Active NPI

Gracious Living Assistance Inc

  • In Home Supportive Care Agency
  • Chicago, IL
National Provider Identifier
1104621986
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACIOUS LIVING ASSISTANCE INC
Practice address
4311 N Ravenswood Ave Ste 100
Chicago, IL 60613-1192
Phone
(312) 685-4174
NPI assigned
Feb 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Peter G Sotos
Title
President
Phone
(312) 685-4174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4311 N Ravenswood Ave Ste 100
Chicago, IL 60613-1192

Mailing address

4311 N Ravenswood Ave Ste 100
Chicago, IL 60613-1192
Phone (312) 685-4174

Other names 1

  • Assisting Hands Chicago North Doing business as

National Provider Directory

National Provider Directory

Locations

4311 N Ravenswood Ave
Ste 100
Chicago, IL 60613
Phone (312) 612-0716

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1104621986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 N RAVENSWOOD AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131192",
            "telephone_number": "312-685-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 N RAVENSWOOD AVE STE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131192",
            "telephone_number": "312-685-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS LIVING ASSISTANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SOTOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-685-4174"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisting Hands Chicago North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.

Verify at the official NPI Registry.