Organization Active NPI

Graceful Living LLC

  • Non-emergency Medical Transport (VAN)
  • Westlake, OH
National Provider Identifier
1255665303
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
18-807-5 Issued in OH
Legal business name
GRACEFUL LIVING LLC
Practice address
24500 Center Ridge Rd Ste 140
Westlake, OH 44145-5621
Phone
(440) 899-2617
Fax
(440) 899-2918
NPI assigned
Sep 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Authorized official

Name
Diego Hernandez
Title
President
Phone
(440) 899-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 18-807-5 OH Primary

Addresses

Primary practice location

24500 Center Ridge Rd Ste 140
Westlake, OH 44145-5621

Mailing address

25200 Center Ridge Rd Ste 140
Westlake, OH 44145-4141
Phone (440) 899-2617

Other identifiers 1

IdentifierTypeStateIssuer
2997968MedicaidOH

National Provider Directory

National Provider Directory

Locations

24500 Center Ridge Rd
Ste 140
Westlake, OH 44145
Phone (440) 899-2617

24500 Center Ridge Rd
Ste 135
Westlake, OH 44145

26404 Center Ridge Rd
Ste B2
Westlake, OH 44145

25200 Center Ridge Rd
Ste 140
Westlake, OH 44145

NPI Registry JSON

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1255665303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CENTER RIDGE RD STE 140",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454141",
            "telephone_number": "440-899-2617",
            "fax_number": "440-899-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24500 CENTER RIDGE RD STE 140",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455621",
            "telephone_number": "440-899-2617",
            "fax_number": "440-899-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-22",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-899-2617"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "18-807-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2997968",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.