Organization Active NPI

Graceful Home Care Services, LLC

  • Home Health Agency
  • Lake Worth, FL
National Provider Identifier
1477405439
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL HOME CARE SERVICES, LLC
Practice address
2363 Shimmery LN
Lake Worth, FL 33462-6001
Phone
(516) 738-1511
NPI assigned
Feb 12, 2026
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Russhell Gordon, CNA
Title
Director
Phone
(516) 738-1511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2363 Shimmery LN
Lake Worth, FL 33462-6001

Mailing address

2363 Shimmery LN
Lake Worth, FL 33462-6001
Phone (516) 738-1511

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1477405439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 SHIMMERY LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626001",
            "telephone_number": "516-738-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 SHIMMERY LN",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334626001",
            "telephone_number": "516-738-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "RUSSHELL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-738-1511",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.