Organization Active NPI

Gracious Care Agency, LLC

  • Developmentally Disabled Services Day Training Agency
  • Brooklyn, NY
National Provider Identifier
1407116882
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRACIOUS CARE AGENCY, LLC
Practice address
1210 Utica Ave
1St Floor
Brooklyn, NY 11203-5910
Phone
(718) 629-0919
Fax
(718) 629-0920
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Mr. Pierre Omeler
Title
Director
Phone
(718) 629-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1210 Utica Ave
1St Floor
Brooklyn, NY 11203-5910

Mailing address

49B Erlanger Blvd
North Babylon, NY 11703-1106
Phone (718) 629-0919

National Provider Directory

National Provider Directory

Locations

1210 Utica Ave
Fl 1
Brooklyn, NY 11203
Phone (718) 629-0919

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1407116882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49B ERLANGER BLVD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031106",
            "telephone_number": "718-629-0919",
            "fax_number": "718-629-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 UTICA AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112035910",
            "telephone_number": "718-629-0919",
            "fax_number": "718-629-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "OMELER",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-629-0919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.