Graceful Guardians Home Assistance Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFUL GUARDIANS HOME ASSISTANCE INC

Practice address

4741 Lucier CT Apt 3
Winter Park, FL 32792-9164

Phone

(321) 462-1012

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

Manoucheka Charles

Title

President

Phone

(321) 462-1012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1427891340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 LUCIER CT APT 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 LUCIER CT APT 3",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327929164",
            "telephone_number": "321-462-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL GUARDIANS HOME ASSISTANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "MANOUCHEKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-462-1012"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edilberto Deiparine Gorion, P.T.
• Patrick W Gorman, PSYD
• Elizabeth Gorovitz
• Ashwini Govinda Raju
• Natalia Gozias, D.P.T
• Gracefully Aging Healthcare Service LLC
• Lisamarie Grafe, DPT
• Mary Gramer
• Barbara H Grant, ITDS
• Lara Grant, BCABA, MA

• In Home Supportive Care Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.