Active NPI
Grace Living Support LLC
- Home Health Agency
- Cleveland, OH
National Provider Identifier
1568316909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marleny Sepulveda, HOME HEALTH CERT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.