Graceful Gardens Residential Group Home LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFUL GARDENS RESIDENTIAL GROUP HOME LLC

Practice address

5510 Joshua Tree Cir
Fredericksburg, VA 22407-9343

Phone

(571) 575-0558

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Frederick Addai-Poku, PM

Title

Director

Phone

(703) 870-0824

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1518728518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 JOSHUA TREE CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079343",
            "telephone_number": "571-575-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 JOSHUA TREE CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224079343",
            "telephone_number": "571-575-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL GARDENS RESIDENTIAL GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "ADDAI-POKU",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-870-0824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PM"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Counseling Center
• Grace Physical Therapy, LLC
• Grace Physical Therapy, PC
• Lisa B. Grace, SLP
• Graceful Gardens Home Care LLC
• Graceful Legacy Hospice LLC
• Michelle Dorsey Graf, NP
• Stephanie Ricke Graham, M.A. CCC/SLP
• Lindsay Kathleen Hession Grainger, CFNP
• Grand Option Care, Inc

• In Home Supportive Care Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.