Organization Active NPI

Gracious by Your Side LLC

  • Community/Behavioral Health Agency
  • Romulus, MI
National Provider Identifier
1194634519
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Sep 2, 2026

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)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary
In Home Supportive Care Agency 253Z00000X
Community Health Clinic/Center 261QC1500X
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.