Organization Active NPI

Gracefully Connected, LLC

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1437932480
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACEFULLY CONNECTED, LLC
Practice address
4400 McCaan Quay
Chesapeake, VA 23321-4260
Phone
(757) 535-5214
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Tomeika Felicia Taylor
Title
Ceo/Director
Phone
(757) 535-5057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4400 McCaan Quay
Chesapeake, VA 23321-4260

Mailing address

4400 McCaan Quay
Chesapeake, VA 23321-4260
Phone (757) 535-5214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1437932480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MCCAAN QUAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214260",
            "telephone_number": "757-535-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MCCAAN QUAY",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233214260",
            "telephone_number": "757-535-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY CONNECTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TOMEIKA",
        "authorized_official_middle_name": "FELICIA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "757-535-5057"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.