Active NPI
Graceful Homes
- Mental Illness Community Based Residential Treatment Facility
- Scottsdale, AZ
National Provider Identifier
1356741359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.