Active NPI
Gracefully Aging LLC
- Home Health Agency
- Ocoee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRACEFULLY AGING LLC
- Practice address
- 1837 Lochshyre Loop
Ocoee, FL 34761-9160 - Phone
- (407) 744-9043
- NPI assigned
- Feb 6, 2019
- Last updated
- Jun 2, 2021
- Organization subpart
- Yes
- Parent organization
- GRACEFULLY AGING LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nakia Starker
- Title
- Manager
- Phone
- (407) 844-5840
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1837 Lochshyre Loop
Ocoee, FL 34761-9160
Mailing address
1837 Lochshyre Loop
Ocoee, FL 34761-9160
Phone (407) 744-9043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578032967 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Gracefully Aging LLC
- Part of
- Gracefully Aging LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Ocoee, FL
- NPI 1578032967
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- In Home Supportive Care Agency
- Ocoee, FL
- NPI 1578032967
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Homemaker
- Orlando, FL
- NPI 1528567963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622592000000",
"number": "1174088827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 LOCHSHYRE LOOP",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619160",
"telephone_number": "407-744-9043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1837 LOCHSHYRE LOOP",
"city": "OCOEE",
"state": "FL",
"postal_code": "347619160",
"telephone_number": "407-744-9043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACEFULLY AGING LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GRACEFULLY AGING LLC",
"enumeration_date": "2019-02-06",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A",
"authorized_official_last_name": "STARKER",
"authorized_official_first_name": "NAKIA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "407-844-5840"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578032967",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocoee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.