Gracie Heart Home Health LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACIE HEART HOME HEALTH LLC

Practice address

24318 El Pilar
Laguna Niguel, CA 92677

Phone

(214) 207-2914

NPI assigned

Nov 26, 2014

Last updated

Nov 26, 2014By 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

Mr. Thomas T Headen III, J.D.

Title

Chief of Compliance

Phone

(214) 207-2914

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1427455906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24318 EL PILAR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24318 EL PILAR",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "214-207-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIE HEART HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "HEADEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF OF COMPLIANCE",
        "authorized_official_telephone_number": "214-207-2914",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Gomez, C.A.T.C. I
• Jody Goodrich
• Abigail Rose Gothard
• Alexa Gozali, DO
• Grace Physical Therapy, Inc. (Laguna Orthopedic Rehabilitation)
• Ashley Granados
• Jacqueline Gravell-O'Kane, LMFT
• Janice Renee Graves
• Arlen David Green, D.O.
• Michael Thomas Griffin, MSW LCSW

• In Home Supportive Care Agency in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.