Organization Active NPI

Gracefully Aging

  • In Home Supportive Care Agency
  • Fort Worth, TX
National Provider Identifier
1316806110
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFULLY AGING
Practice address
14400 JFK Blvd Apt 1224
Fort Worth, TX 76155-1020
Phone
(254) 630-2190
NPI assigned
Jan 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Authorized official

Name
Kadesha Marshall, MARSHALLNPI 1407715444
Title
Owner
Phone
(254) 630-2190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14400 JFK Blvd Apt 1224
Fort Worth, TX 76155-1020

Mailing address

14400 JFK Blvd Apt 1224
Fort Worth, TX 76155-1020
Phone (254) 630-2190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768608000000",
    "number": "1316806110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 JFK BLVD APT 1224",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761551020",
            "telephone_number": "254-630-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 JFK BLVD APT 1224",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761551020",
            "telephone_number": "254-630-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "KADESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-630-2190",
        "authorized_official_credential": "MARSHALL"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2026; 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.