Organization Active NPI

Graceful Homes

  • Mental Illness Community Based Residential Treatment Facility
  • Scottsdale, AZ
National Provider Identifier
1356741359
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GRACEFUL HOMES
Practice address
808 N 74TH St
Scottsdale, AZ 85257-4310
Phone
(978) 831-3166
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Stella W NG'Era
Title
Administrator
Phone
(978) 831-3166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

808 N 74TH St
Scottsdale, AZ 85257-4310

Mailing address

808 N 74TH St
Scottsdale, AZ 85257-4310
Phone (978) 831-3166

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1356741359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N 74TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574310",
            "telephone_number": "978-831-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N 74TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852574310",
            "telephone_number": "978-831-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "NG'ERA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "978-831-3166"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.