Graceful Golden Years Home Care Agency

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACEFUL GOLDEN YEARS HOME CARE AGENCY

Practice address

9200 Montgomery Rd Ste 23B
Montgomery, OH 45242-7794

Phone

(513) 807-2563

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Charron Ariel HumphreyNPI 1821851163

Title

Ceo

Phone

(513) 807-2563

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charron Ariel Humphrey

  • Gerontology Registered Nurse
  • Montgomery, OH
  • NPI 1821851163
  NPD Authorized official

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1477314417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD STE 23B",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427794",
            "telephone_number": "513-807-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 MONTGOMERY RD STE 23B",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452427794",
            "telephone_number": "513-807-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL GOLDEN YEARS HOME CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "CHARRON",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "513-807-2563"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Gilbertson, LMT
• Navjot Singh Gill
• Saulius K Girnius
• Shannon Christine Godar, CNP
• Pratika Goparaju
• Tyler Graham, PHARMD
• Emma L Gray, LSW
• Noah Gray, DPT
• Ellis A Green, MD
• Kelly Greer, DC

• Home Health Agency in Montgomery, OH
• Providers in Montgomery, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.