Organization Active NPI

Gracious Living Enterprises, LLC

  • Developmentally Disabled Services Day Training Agency
  • Mechanicsville, VA
National Provider Identifier
1134079304
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRACIOUS LIVING ENTERPRISES, LLC
Practice address
7802 Sweetbay LN
Mechanicsville, VA 23111-7529
Phone
(804) 350-3393
Fax
(804) 569-1859
NPI assigned
Jan 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Cliethenia Johnson
Title
Ceo
Phone
(804) 350-3393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

7802 Sweetbay LN
Mechanicsville, VA 23111-7529

Mailing address

7802 Sweetbay LN
Mechanicsville, VA 23111-7529
Phone (804) 350-3393

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1134079304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7802 SWEETBAY LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117529",
            "telephone_number": "804-350-3393",
            "fax_number": "804-569-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7802 SWEETBAY LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231117529",
            "telephone_number": "804-350-3393",
            "fax_number": "804-569-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS LIVING ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "CLIETHENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-350-3393"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.