Gracious Love in Home Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACIOUS LOVE IN HOME SERVICES LLC

Practice address

267 S Dade Ave
Ferguson, MO 63135-2522

Phone

(618) 477-6535

NPI assigned

Aug 9, 2021

Last updated

Aug 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debralle Wilkins

Title

President/Administrator

Phone

(618) 447-6535

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1407521883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 S DADE AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352522",
            "telephone_number": "618-477-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 S DADE AVE",
            "city": "FERGUSON",
            "state": "MO",
            "postal_code": "631352522",
            "telephone_number": "618-477-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS LOVE IN HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "DEBRALLE",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "618-447-6535"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ukasha Habib, MBBS
• Erica Harris-Herron, M.D.

• In Home Supportive Care Agency in Ferguson, MO
• Providers in Ferguson, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.