Active NPI
Gracious Home Health Services, LLC
- In Home Supportive Care Agency
- Quincy, FL
National Provider Identifier
1376147538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GRACIOUS HOME HEALTH SERVICES, LLC
- Practice address
- 3034 Providence Rd
Quincy, FL 32351-6003 - Phone
- (850) 728-2677
- NPI assigned
- Nov 27, 2020
- Last updated
- Feb 13, 2021
- 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
- Miss Akeria C Betsey, LPN
- Title
- Administrator
- Phone
- (850) 728-2677
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
3034 Providence Rd
Quincy, FL 32351-6003
Mailing address
PO Box 821
Quincy, FL 32353-0821
Phone (850) 728-2677
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 237257 | Other | FL | AGENCY FOR HEALTHCARE ADMINISTRATION |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Licensed Practical Nurse
- Quincy, FL
- NPI 1033713292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613174400000",
"number": "1376147538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821",
"city": "QUINCY",
"state": "FL",
"postal_code": "323530821",
"telephone_number": "850-728-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3034 PROVIDENCE RD",
"city": "QUINCY",
"state": "FL",
"postal_code": "323516003",
"telephone_number": "850-728-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACIOUS HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-27",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A",
"authorized_official_last_name": "BETSEY",
"authorized_official_first_name": "AKERIA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "850-728-2677",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY FOR HEALTHCARE ADMINISTRATION",
"identifier": "237257",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.