Graceland Medical Supplies & Healthcare Services LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

GRACELAND MEDICAL SUPPLIES & HEALTHCARE SERVICES LLC

Practice address

1708 Trawick Rd Ste 220
Raleigh, NC 27604-3897

Phone

(919) 537-5398

Fax

(919) 615-4023

NPI assigned

Nov 11, 2014

Organization subpart

No

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

Authorized official

Name

Larkeisa Sherell Avery

Title

Owner/ Manager

Phone

(919) 537-5398

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1346646882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043897",
            "telephone_number": "919-537-5398",
            "fax_number": "919-615-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 TRAWICK RD STE 220",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043897",
            "telephone_number": "919-537-5398",
            "fax_number": "919-615-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND MEDICAL SUPPLIES & HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-11",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "LARKEISA",
        "authorized_official_middle_name": "SHERELL",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "919-537-5398"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Within Transitions Foundation
• Brittany H Grace
• Rory Tynan Grace, M.D.
• Graceful Blessings Transport
• Gracefully Balanced Counseling
• Gracie McCarroll, PLLC
• Suzanna Rodriguez Gracyk, RD
• Alexandra Patricia Graddy
• Elizabeth A Grady, LPCS, NCC, DCC
• Grace Graebel, LCMHCA, MT-BC

• Customized Equipment (DME) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Customized Equipment (DME) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.