Active NPI
Gracious Care Inc
- Community Based Hospice Care Agency
- Slidell, LA
National Provider Identifier
1326166000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- PCA11382
- Legal business name
- GRACIOUS CARE INC
- Practice address
- 1380B Corporate Square Dr
Slidell, LA 70458-3153 - Phone
- (985) 661-8862
- NPI assigned
- Mar 27, 2007
- 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
- April Hoffman, RN
- Title
- RN Adminstrator
- Phone
- (228) 831-1510
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | PCA11382 | LA | Primary |
Addresses
Primary practice location
1380B Corporate Square Dr
Slidell, LA 70458-3153
Mailing address
217 Arrowhead Blvd
Jonesboro, GA 30236-1169
Phone (678) 610-1416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1471763 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Gracious Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Slidell, LA
- NPI 1376663195
Locations
1380B Corporate Square Dr
Slidell, LA 70458
Phone (985) 661-8862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326166000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 ARROWHEAD BLVD",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361169",
"telephone_number": "678-610-1416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380B CORPORATE SQUARE DR",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704583153",
"telephone_number": "985-661-8862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HOFFMAN",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "RN ADMINSTRATOR",
"authorized_official_telephone_number": "228-831-1510",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "LA",
"license": "PCA11382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1471763",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.