Active NPI
Gracious by Your Side LLC
- Community/Behavioral Health Agency
- Romulus, MI
National Provider Identifier
1194634519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- GRACIOUS BY YOUR SIDE LLC
- Practice address
- 35675 Garner St
Romulus, MI 48174-4129 - Phone
- (810) 308-7991
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawna Dietrick
- Title
- Ceo,Manager
- Phone
- (810) 308-7991
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Adult Companion | 372600000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
35675 Garner St
Romulus, MI 48174-4129
Mailing address
35675 Garner St
Romulus, MI 48174-4129
Phone (810) 308-7991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1194634519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35675 GARNER ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481744129",
"telephone_number": "810-308-7991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35675 GARNER ST",
"city": "ROMULUS",
"state": "MI",
"postal_code": "481744129",
"telephone_number": "810-308-7991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS BY YOUR SIDE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "DIETRICK",
"authorized_official_first_name": "SHAWNA",
"authorized_official_title_or_position": "CEO,MANAGER",
"authorized_official_telephone_number": "810-308-7991"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Romulus, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.