Graceland Residential Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GRACELAND RESIDENTIAL INC

Practice address

7003 Fountain Park Dr
Glenn Dale, MD 20769-9475

Phone

(919) 525-6764

NPI assigned

Feb 26, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Stephen David

Title

Ceo

Phone

(919) 525-6764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1376497198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 FOUNTAIN PARK DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699475",
            "telephone_number": "919-525-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 FOUNTAIN PARK DR",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699475",
            "telephone_number": "919-525-6764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND RESIDENTIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-525-6764",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Gibbons, MD
• Gig Home Health Care Agency, Inc
• Irene A Ginczek, NP
• Glenn Dale Fire Association, Inc.
• Grace Medtrans, LLC
• Danike Grant, LGPC
• Sharon Evette Hawks, M.S, RD, LDN, CDE
• Health Seekers Medical Clinic LLC
• Walter Henry III
• Henry'S Home Healthcare Services

• All providers in Glenn Dale, MD
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.