Organization Active NPI

Graciously Creative Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Cincinnati, OH
National Provider Identifier
1417375908
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRACIOUSLY CREATIVE CARE, LLC
Practice address
8595 Beechmont Ave
Suite LL3
Cincinnati, OH 45255-4783
Phone
(513) 536-6337
Fax
(513) 536-8731
NPI assigned
Apr 1, 2014
Last updated
Oct 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Ijeoma Jessica Ajunwa
Title
Member
Phone
(513) 536-6399

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Home Health Agency 251E00000X

Addresses

Primary practice location

8595 Beechmont Ave
Suite LL3
Cincinnati, OH 45255-4783

Mailing address

8595 Beechmont Ave
Suite LL3
Cincinnati, OH 45255-4783
Phone (513) 536-6337

National Provider Directory

National Provider Directory

Locations

8595 Beechmont Ave
Ste LL3
Cincinnati, OH 45255
Phone (513) 536-6337

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1417375908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE",
            "address_2": "SUITE LL3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554783",
            "telephone_number": "513-536-6337",
            "fax_number": "513-536-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 BEECHMONT AVE",
            "address_2": "SUITE LL3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452554783",
            "telephone_number": "513-536-6337",
            "fax_number": "513-536-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUSLY CREATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "AJUNWA",
        "authorized_official_first_name": "IJEOMA JESSICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "513-536-6399"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.