Graceful Hands Family Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACEFUL HANDS FAMILY HEALTH CARE LLC

Practice address

409 Harry C Raysor Dr
St Matthews, SC 29135-1481

Phone

(804) 901-9907

NPI assigned

Mar 9, 2022

Organization subpart

No

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

Authorized official

Name

Sonja Mack

Title

Administration

Phone

(803) 901-9907

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1154078178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 332",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291350332",
            "telephone_number": "803-901-9907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HARRY C RAYSOR DR",
            "city": "ST MATTHEWS",
            "state": "SC",
            "postal_code": "291351481",
            "telephone_number": "804-901-9907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDS FAMILY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SONJA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "803-901-9907"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary B Fischer, RN
• Amber Fitzpatrick, BEHAVIOR ASSISTANT
• Angela Kay Fogle, CNA, CD, CPD, CHBE
• Jennifer D. Gatch, CD(DONA)
• Frederick Golden Sr.
• Claretta C Green, FNP-C
• Jennifer Holeman, RN
• Betty Houser
• Idg Health Solutions
• Carmoni Iman Johnson, LMT

• Home Health Agency in St Matthews, SC
• Providers in St Matthews, SC by specialty
• Home Health Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.