Organization Active NPI

Gracefully Extended LLC

  • Home Health Agency
  • Orlando, FL
National Provider Identifier
1528792199
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFULLY EXTENDED LLC
Doing business as
Gracefully Extended LLC
Practice address
3203 Conway Rd Ste 200-C
Orlando, FL 32812-7303
Phone
(877) 977-1433
NPI assigned
Jul 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Ms. Aryelle Robertson
Title
Ceo
Phone
(561) 506-5348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3203 Conway Rd Ste 200-C
Orlando, FL 32812-7303

Mailing address

3203 Conway Rd Ste 200-C
Orlando, FL 32812-7303
Phone (877) 977-1433

Other names 1

  • Gracefully Extended LLC Doing business as

National Provider Directory

National Provider Directory

Locations

3203 Conway Rd
Ste 200C
Orlando, FL 32812
Phone (877) 977-1433

NPI Registry JSON

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1528792199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 CONWAY RD STE 200-C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127303",
            "telephone_number": "877-977-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 CONWAY RD STE 200-C",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328127303",
            "telephone_number": "877-977-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY EXTENDED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ARYELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-506-5348",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracefully Extended LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.