Active NPI
Gracious Services Inc.
- Developmentally Disabled Services Day Training Agency
- Westfield, NJ
National Provider Identifier
1447738083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- GRACIOUS SERVICES INC.
- Practice address
- 208 Lenox Ave Ste 353
Westfield, NJ 07090-5120 - Phone
- (908) 233-0005
- NPI assigned
- Aug 6, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bayo Badmus
- Title
- Ceo
- Phone
- (908) 233-0005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
208 Lenox Ave Ste 353
Westfield, NJ 07090-5120
Mailing address
208 Lenox Ave Ste 353
Westfield, NJ 07090-5120
Phone (908) 485-9775
Other practice location 1
558 W Broad St
Westfield, NJ 07090-4107
Phone (908) 485-9775
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0571911 | Medicaid | NJ |
National Provider Directory
National Provider Directory- Tax ID family
- Gracious Services Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Westfield, NJ
- NPI 1255703112
-
- Developmentally Disabled Services Day Training Agency
- Kenilworth, NJ
- NPI 1477412617
-
- Developmentally Disabled Services Day Training Agency
- Fanwood, NJ
- NPI 1659953222
-
- Adolescent and Children Mental Health Clinic/Center
- Fanwood, NJ
- NPI 1821823279
Locations
558 W Broad St
Westfield, NJ 07090
Phone (908) 485-9775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1447738083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 LENOX AVE STE 353",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070905120",
"telephone_number": "908-485-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 LENOX AVE STE 353",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070905120",
"telephone_number": "908-233-0005"
}
],
"practiceLocations": [
{
"address_1": "558 W Broad St",
"address_purpose": "LOCATION",
"city": "Westfield",
"state": "NJ",
"postal_code": "070904107",
"country_code": "US",
"telephone_number": "908-485-9775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GRACIOUS SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-06",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "BADMUS",
"authorized_official_first_name": "BAYO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "908-233-0005"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0571911",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.