Organization Active NPI

Graceful Living Center Inc.

  • Home Health Agency
  • Milwaukee, WI
National Provider Identifier
1144738576
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL LIVING CENTER INC.
Practice address
3628 N 41St St
Milwaukee, WI 53216-3437
Phone
(414) 442-5740
Fax
(414) 442-4655
NPI assigned
Jan 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Mrs. Ardelia Swiams
Title
Administrator
Phone
(414) 442-5740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3628 N 41St St
Milwaukee, WI 53216-3437

Mailing address

PO Box 16944
Milwaukee, WI 53216-0944
Phone (414) 442-5740

Other practice location 1

3634 N 41st St
Milwaukee, WI 53216-3437
Phone (414) 442-5740

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144738576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16944",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532160944",
            "telephone_number": "414-442-5740",
            "fax_number": "414-442-4655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3628 N 41ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532163437",
            "telephone_number": "414-442-5740",
            "fax_number": "414-442-4655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3634 N 41st St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532163437",
            "country_code": "US",
            "telephone_number": "414-442-5740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRACEFUL LIVING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SWIAMS",
        "authorized_official_first_name": "ARDELIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-442-5740",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.