Organization Active NPI

Graceful Living Services

  • Nursing Care Agency
  • Philadelphia, PA
National Provider Identifier
1114894433
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GRACEFUL LIVING SERVICES
Practice address
5624 Morton St
Philadelphia, PA 19144-1330
Phone
(215) 939-2603
NPI assigned
Oct 21, 2025
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Lakisha Thomas Bynum
Title
Ceo
Phone
(215) 939-2603

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Nursing Care Agency 251J00000X Primary
Chore ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 372500000X

Addresses

Primary practice location

5624 Morton St
Philadelphia, PA 19144-1330

Mailing address

5624 Morton St
Philadelphia, PA 19144-1330
Phone (215) 939-2603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1114894433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5624 MORTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441330",
            "telephone_number": "215-939-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5624 MORTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441330",
            "telephone_number": "215-939-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS BYNUM",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-939-2603"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.