Graceful Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GRACEFUL HOME CARE LLC

Practice address

10630 44TH Ave SE
Everett, WA 98208-4687

Phone

(425) 332-3490

NPI assigned

Jul 17, 2025

Organization subpart

No

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

Authorized official

Name

Samson Zego

Title

Owner

Phone

(425) 332-3490

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1477445963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 44TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084687",
            "telephone_number": "425-332-3490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 44TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084687",
            "telephone_number": "425-332-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "ZEGO",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-332-3490"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall K. Gould, M.D.
• Delaney Conway Goulet, M.D.
• Dennis Goulet
• Abishak Govindarajan
• Riyansha Goyal
• Jamie Grady, BA
• Amanda Graham
• David Samuel Graham, CRNA
• Deborah L Graham, BAS, MSW
• Faith Fares Graham

• Nursing Care Agency in Everett, WA
• Providers in Everett, WA by specialty
• Nursing Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.