Active NPI
Graceland Homecare Inc.
- Home Health Agency
- Brooklyn, NY
National Provider Identifier
1558728709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GRACELAND HOMECARE INC.
- Practice address
- 2768 Pitkin Ave
Brooklyn, NY 11208-3239 - Phone
- (718) 552-2694
- Fax
- (718) 552-2695
- NPI assigned
- Jan 19, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Akinwande Obafemi
- Title
- Chairperson/Administrator
- Phone
- (718) 687-7336
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2768 Pitkin Ave
Brooklyn, NY 11208-3239
Mailing address
17 Miller Farms Dr
Miller Place, NY 11764-2439
National Provider Directory
National Provider DirectoryLocations
365 Thatford Ave
Ste 1M
Brooklyn, NY 11212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1558728709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 MILLER FARMS DR",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2768 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112083239",
"telephone_number": "718-552-2694",
"fax_number": "718-552-2695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACELAND HOMECARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-19",
"last_updated": "2021-08-13",
"certification_date": "2021-08-13",
"status": "A",
"authorized_official_last_name": "OBAFEMI",
"authorized_official_first_name": "AKINWANDE",
"authorized_official_title_or_position": "CHAIRPERSON/ADMINISTRATOR",
"authorized_official_telephone_number": "718-687-7336",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.