Gracefully Aging Healthcare Service LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFULLY AGING HEALTHCARE SERVICE LLC

Practice address

1950 Lee Rd Ste 204
Winter Park, FL 32789-7210

Phone

(407) 744-9043

Fax

(407) 612-2183

NPI assigned

Sep 10, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Nakia Starker

Title

Administrator

Phone

(407) 744-9043

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1599696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1538774245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 204",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897210",
            "telephone_number": "407-744-9043",
            "fax_number": "407-612-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 LEE RD STE 204",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327897210",
            "telephone_number": "407-744-9043",
            "fax_number": "407-612-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY AGING HEALTHCARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-10",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "STARKER",
        "authorized_official_first_name": "NAKIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-744-9043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1950 Lee Rd Ste 204",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327897210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patrick W Gorman, PSYD
• Elizabeth Gorovitz
• Ashwini Govinda Raju
• Natalia Gozias, D.P.T
• Graceful Guardians Home Assistance Inc
• Lisamarie Grafe, DPT
• Mary Gramer
• Barbara H Grant, ITDS
• Lara Grant, BCABA, MA
• Ruth-Ann Grant, LMT

• In Home Supportive Care Agency in Winter Park, FL
• Providers in Winter Park, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.