Organization Active NPI

Graceful Senior Care Inc

Doing business as Graceful Adult Care

  • Assisted Living Facility (Mental Illness)
  • Van Nuys, CA
National Provider Identifier
1487493193
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
GRACEFUL SENIOR CARE INC
Doing business as
Graceful Adult Care
Practice address
7314 Cantaloupe Ave
Van Nuys, CA 91405
Phone
(323) 449-0944
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Mrs. Ani Palezyan
Title
Ceo
Phone
(818) 926-9992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X NU Primary

Addresses

Primary practice location

7314 Cantaloupe Ave
Van Nuys, CA 91405

Mailing address

7312 Cantaloupe Ave
Van Nuys, CA 91405-2606
Phone (323) 449-0944

Other names 1

  • GRACEFUL ADULT CARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1487493193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7312 CANTALOUPE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052606",
            "telephone_number": "323-449-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7314 CANTALOUPE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "323-449-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "PALEZYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-926-9992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACEFUL ADULT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.