Gracious Home Care Services, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACIOUS HOME CARE SERVICES, LLC

Practice address

1305 Waldridge CT
Greensboro, NC 27406

Phone

(313) 444-5224

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By 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

Ashley S DemoniqueNPI 1174090989

Title

Ceo

Phone

(336) 880-9399

Specialties & licenses 1

Addresses

Other names 1

• Gracious Home Care Services, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Demonique

  • Home Health Aide
  • Clinton Township, MI
  • NPI 1174090989
  NPD Authorized official

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1417710369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17410 MACK AVE",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WALDRIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27406",
            "telephone_number": "313-444-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "DEMONIQUE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-880-9399"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Home Care Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renee Marie Goulding, PMHNP-BC
• Nathan Gower
• Grace and Mercy Transportation Inc
• Grace Counseling and Wellness (Grace Counseling and Wellness, PLLC)
• Grace Taven Homecare Agency
• Allen Thomas Grady, M.D.
• Sabrina Graham Shaw
• Bryan Douglas Graham, DPT, CLWT
• Chelsea Jamia Graham, CNM
• Cheon Carlon Graham, PHD

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.