Organization Active NPI

Grace Living Support LLC

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1568316909
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE LIVING SUPPORT LLC
Practice address
4700 W 150TH St
Cleveland, OH 44135-3464
Phone
(216) 855-6829
NPI assigned
Feb 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Marleny Sepulveda, HOME HEALTH CERTNPI 1043040116
Title
Owner
Phone
(216) 855-6829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

4700 W 150TH St
Cleveland, OH 44135-3464

Mailing address

5801 Clark Ave
Cleveland, OH 44102-4427
Phone (216) 855-6829

National Provider Directory

National Provider Directory

Locations

5801 Clark Ave
Cleveland, OH 44102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1568316909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CLARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441024427",
            "telephone_number": "216-855-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 W 150TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441353464",
            "telephone_number": "216-855-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE LIVING SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "SEPULVEDA",
        "authorized_official_first_name": "MARLENY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-855-6829",
        "authorized_official_credential": "HOME HEALTH CERT"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.