Active NPI
Gracious Living Home Care
- In Home Supportive Care Agency
- Philadelphia, PA
National Provider Identifier
1225683550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GRACIOUS LIVING HOME CARE
- Practice address
- 5706 N 20TH St
Philadelphia, PA 19138-2902 - Phone
- (267) 592-8514
- NPI assigned
- Aug 4, 2019
- Last updated
- Aug 4, 2019
- 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
- Mr. Clinton Gilbert Handy
- Title
- Ceo
- Phone
- (267) 592-8514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
5706 N 20TH St
Philadelphia, PA 19138-2902
Mailing address
5706 N 20TH St
Philadelphia, PA 19138-2902
Phone (267) 592-8514
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Computer | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564876800000",
"number": "1225683550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5706 N 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191382902",
"telephone_number": "267-592-8514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 N 20TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191382902",
"telephone_number": "267-592-8514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS LIVING HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-04",
"last_updated": "2019-08-04",
"status": "A",
"authorized_official_last_name": "HANDY",
"authorized_official_first_name": "CLINTON",
"authorized_official_middle_name": "GILBERT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "267-592-8514",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Computer",
"affiliation": "N",
"endpointDescription": "Toshiba Laptop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "MEDICAID",
"address_1": "5706 N 20th St",
"city": "Philadelphia",
"state": "PA",
"country_code": "US",
"postal_code": "191382902",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Philadelphia, PA
- Clarisa R Gracia, MD
- Judith Nadine Gracia, MD
- Carlos Sebastian Gracias, MD
- Gracious Generations Home Care Agency
- Gracious Home Health Care Services LLC
- Christine Gradel, CRNP
- Allison Gradone, MD
- Graduate Hospital Dept of Medicine Education & Research Foundation
- Graduate Hospital Dept. of Medicine Education & Research Foundation (Laura S. Picciano, D.O.)
- Graduate Hospital Dept. of Medicine Education & Research Foundation (Philadelphia Arthritis Consultants)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.