Graceful Hands Staffing and Medical Service LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GRACEFUL HANDS STAFFING AND MEDICAL SERVICE LLC

Practice address

1350 S Zack Hinton Pkwy Ste E
McDonough, GA 30253-3361

Phone

(225) 221-2423

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lasandra Oconner

Title

Owner

Phone

(225) 221-2423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1558937417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S ZACK HINTON PKWY STE E",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533361",
            "telephone_number": "225-221-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S ZACK HINTON PKWY STE E",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533361",
            "telephone_number": "225-221-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HANDS STAFFING AND MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "OCONNER",
        "authorized_official_first_name": "LASANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-221-2423"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Nicole Goodwin
• Sabina Gabrielle Gordon, FNP-C
• Candice Gould, LCSW
• Sridevi Gowravaram, MD
• Grace & Peace Christian Counseling & Consulting Services, LLC
• Graceful Mind Health Services LLC
• Gracefully Chosen Home Health Care, LLC
• Gracefully Chosen Nemt, LLC
• Alicia Grady, M.D.
• Latrina Graham, LPC

• Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.