Organization Active NPI

Graceful Hearts

  • In Home Supportive Care Agency
  • Jackson, AL
National Provider Identifier
1508278250
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFUL HEARTS
Practice address
110 Commerce St
Jackson, AL 36545-2716
Phone
(251) 387-5154
NPI assigned
May 29, 2014
Last updated
May 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Latosha Pugh
Title
Ceo
Phone
(251) 387-5154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

110 Commerce St
Jackson, AL 36545-2716

Mailing address

110 Commerce St
Jackson, AL 36545-2716

National Provider Directory

National Provider Directory

Locations

110 Commerce St
Jackson, AL 36545
Phone (251) 387-5154

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1508278250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COMMERCE ST",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COMMERCE ST",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452716",
            "telephone_number": "251-387-5154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HEARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "LATOSHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "251-387-5154"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.