Graccious

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GRACCIOUS

Practice address

9449 Pinot Blanc CT
Elk Grove, CA 95624-4600

Phone

(916) 430-6989

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Angelica FernandezNPI 1760252126

Title

Ceo

Phone

(916) 430-6989

Specialties & licenses 2

Addresses

Other names 1

• Perpetual Manor Doing business as

Practitioners 1

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

• Angelica Grace Fernandez

  • Licensed Vocational Nurse
  • Elk Grove, CA
  • NPI 1760252126
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1487424842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 PINOT BLANC CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244600",
            "telephone_number": "916-430-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9449 PINOT BLANC CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244600",
            "telephone_number": "916-430-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACCIOUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-06",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANGELICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-430-6989"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perpetual Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nitasha Gounder
• Shylene Gounder
• Umendra Gounder
• Hannah Gow
• Jamahl Jelani Charles Gow, D.C.
• Grace and Growth Family Counseling PC
• Grace of God and Company LLC
• Athena Grace
• Ruth Marie Graham, DPT
• Cynthia Granados Zuniga

• Assisted Living Facility in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.