Organization Active NPI

Gracefully Aging Home Care LLC

  • Home Health Agency
  • Philadelphia, PA
National Provider Identifier
1386476729
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFULLY AGING HOME CARE LLC
Doing business as
Gracefully Aging Home Care LLC
Practice address
2936 Ruth St
Philadelphia, PA 19134-3542
Phone
(856) 773-8193
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Sharmeka Tysheena White
Title
Home Care Manager
Phone
(856) 773-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2936 Ruth St
Philadelphia, PA 19134-3542

Mailing address

2936 Ruth St
Philadelphia, PA 19134-3542
Phone (856) 773-8193

Other names 1

  • GRACEFULLY AGING HOME CARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1386476729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 RUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343542",
            "telephone_number": "856-773-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 RUTH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191343542",
            "telephone_number": "856-773-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY AGING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "SHARMEKA",
        "authorized_official_middle_name": "TYSHEENA",
        "authorized_official_title_or_position": "HOME CARE MANAGER",
        "authorized_official_telephone_number": "856-773-8193"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACEFULLY AGING HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.