Organization Active NPI

Gracious Care Inc

  • Adult Companion
  • Eastvale, CA
National Provider Identifier
1134084403
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
GRACIOUS CARE INC
Practice address
12515 Hudson River Dr
Eastvale, CA 91752-4327
Phone
(909) 994-6204
NPI assigned
Dec 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Authorized official

Name
NA Zhao
Title
Manager
Phone
(909) 994-6204

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193200000X MULTI-SPECIALTY GROUP 372600000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

12515 Hudson River Dr
Eastvale, CA 91752-4327

Mailing address

12515 Hudson River Dr
Eastvale, CA 91752-4327
Phone (909) 994-6204

Other practice location 1

14598 Stonybrook Ct
Corona, CA 92880-3713
Phone (909) 994-6204

National Provider Directory

National Provider Directory
Tax ID family
Gracious Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1766016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1134084403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 HUDSON RIVER DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917524327",
            "telephone_number": "909-994-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 HUDSON RIVER DR",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917524327",
            "telephone_number": "909-994-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14598 Stonybrook Ct",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928803713",
            "country_code": "US",
            "telephone_number": "909-994-6204",
            "fax_number": "909-994-6204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACIOUS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-18",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "NA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-994-6204"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

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