Active NPI
Graceland Home Health Care LLC
- Home Health Agency
- Newark, DE
National Provider Identifier
1407634728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRACELAND HOME HEALTH CARE LLC
- Practice address
- 2610 Eastburn Ctr Unit B
Newark, DE 19711-7285 - Phone
- (302) 533-7359
- NPI assigned
- Sep 18, 2023
- Last updated
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abayomi Oshatola
- Title
- Director
- Phone
- (610) 809-9810
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
2610 Eastburn Ctr Unit B
Newark, DE 19711-7285
Mailing address
2610 Eastburn Ctr Unit B
Newark, DE 19711-7285
Phone (302) 533-7359
National Provider Directory
National Provider DirectoryLocations
2610 Eastburn Ctr
Unit B
Newark, DE 19711
Phone (302) 533-7359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1407634728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2610 EASTBURN CTR UNIT B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117285",
"telephone_number": "302-533-7359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2610 EASTBURN CTR UNIT B",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117285",
"telephone_number": "302-533-7359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACELAND HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-18",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "OSHATOLA",
"authorized_official_first_name": "ABAYOMI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "610-809-9810",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.