Organization Active NPI

Graceland Homecare Inc.

  • Home Health Agency
  • Brooklyn, NY
National Provider Identifier
1558728709
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Aug 13, 2021

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.