Graceful Living Home Care Agency LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

GRACEFUL LIVING HOME CARE AGENCY LLC

Practice address

5410 Sagebrush Ave Apt 5
Indianapolis, IN 46203-5795

Phone

(317) 886-8810

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Phillis ColeNPI 1073293478

Title

Ceo

Phone

(317) 886-8810

Specialties & licenses 6

Addresses

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.

• Phillis Cole

  • In Home Supportive Care Agency
  • Indianapolis, IN
  • NPI 1073293478
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1174393326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 SAGEBRUSH AVE APT 5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5410 SAGEBRUSH AVE APT 5",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462035795",
            "telephone_number": "317-886-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "PHILLIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-886-8810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dori L Grace, LCSW
• Sonia Grace, AGACNP-BC
• Graceful Aging Home Care
• Graceful Aging Home Health Care LLC
• Graceful Home Care LLC
• Gracefullee Driven Home Care LLC
• Gracefully at Home Personal Care LLC
• Connie Grachico
• Charlotte Graciano Martinez, RBT
• Gracious Beginnings LLC

• Home Health Aide in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Home Health Aide in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.