Gracestar Health Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACESTAR HEALTH SERVICES LLC

Doing business as

Gracestar Health Services LLC

Practice address

17300 River Ridge Blvd Ste 201
Woodbridge, VA 22191-5168

Phone

(571) 221-4656

NPI assigned

Nov 8, 2023

Organization subpart

No

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

Authorized official

Name

Abena Owusu-Sekyere

Title

Ceo

Phone

(571) 221-4656

Specialties & licenses 1

Addresses

Other names 1

• Gracestar Health Services LLC Doing business as

Locations

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1396519492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17300 RIVER RIDGE BLVD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915168",
            "telephone_number": "571-221-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17300 RIVER RIDGE BLVD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221915168",
            "telephone_number": "571-221-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACESTAR HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A",
        "authorized_official_last_name": "OWUSU-SEKYERE",
        "authorized_official_first_name": "ABENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "571-221-4656"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracestar Health Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Behnam M Goudarzi, M.D.
• Deepshikha Goyal, M.D.
• Grace Counseling & Mediation Services LLC
• Grace Out Loud Therapy Services, LLC
• Grace Perinatal Associates, Inc.
• Gracestar Home Health LLC
• Gracetouch Psychiatry and Wellness PLLC
• Irina Grandjean, FNP-C
• Antia Elease Grant, RN
• Silbert Harrison Grant, LCSW

• In Home Supportive Care Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.