Graffiti Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRAFFITI CARE LLC

Practice address

630 Elmwood Ave
Kansas City, MO 64124-2920

Phone

(228) 265-0331

NPI assigned

Nov 21, 2024

Organization subpart

No

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

Authorized official

Name

Tyteila M Roach

Title

Owner

Phone

(228) 265-0331

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732147200000",
    "number": "1205651437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 BEECH HILL DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773885706",
            "telephone_number": "228-265-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 ELMWOOD AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641242920",
            "telephone_number": "228-265-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFFITI CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "TYTEILA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-265-0331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Grady, M.D.
• Mark Grady, MD
• William David Graf, M.D.
• Jacquline R Graff, LCSW
• Stephanie Lynn Graff, M.D.
• Alice Graham, ARNP
• Ashley L Graham, RN
• Garth Nigel Graham, MD
• Lauren Mackenzie Graham, LCSW
• Matthew Robert Graham, PHARMD

• Home Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.