Gracefully Aging Senior Services, Inc

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GRACEFULLY AGING SENIOR SERVICES, INC

Practice address

306 S Maple St
Aberdeen, MS 39730-3214

Phone

(662) 318-6222

Fax

(662) 368-1635

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Yvonne Yvonne Richard

Title

Ceo

Phone

(662) 425-1122

Specialties & licenses 1

Addresses

Other names 1

• Gracefully Aging Senior Services, Inc Doing business as

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1194455071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 S MAPLE ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303214",
            "telephone_number": "662-318-6222",
            "fax_number": "662-368-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 S MAPLE ST",
            "city": "ABERDEEN",
            "state": "MS",
            "postal_code": "397303214",
            "telephone_number": "662-318-6222",
            "fax_number": "662-368-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY AGING SENIOR SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "662-425-1122"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracefully Aging Senior Services, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fresh Smiles PLLC
• Shelia Gann, NURSE PRACTITIONER-C
• Patricia Gardner, REGISTERED NURSE
• Tanya Loran Gardner, FNP
• Leonard J Goodgame Jr., DDS
• Billy Houston Griffith, RPH
• Trellis M. Haney, PHARMD
• Kevin Curtis Hayes, M.D.
• Wilton Eric Hoggatt, D.D.S.
• Kelli Honnoll, M.S CFY-SLP

• All providers in Aberdeen, MS
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.