Gracefully With Age Healthcare Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC

Doing business as

Gracefully With Age

Practice address

503 S. 4TH Street
Darby, PA 19023-3119

Phone

(484) 948-8829

NPI assigned

Feb 27, 2024

Organization subpart

No

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

Authorized official

Name

Malvenia Avery

Title

President

Phone

(484) 948-8829

Specialties & licenses 2

Addresses

Other names 1

• Gracefully With Age Doing business as

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1588420327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S. 4TH STREET",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190233119",
            "telephone_number": "484-948-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S. 4TH STREET",
            "city": "DARBY",
            "state": "PA",
            "postal_code": "190233119",
            "telephone_number": "484-948-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY WITH AGE HEALTHCARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-25",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "MALVENIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-948-8829"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracefully With Age",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheryl Heather Glassman, D.O.
• Bria Gleason, TECHNICIAN
• Marilyn Diane Goldman, PT
• John Russell Gooch, M.D,
• Malgorzata E Goralczyk, M.D.
• Peter Grant, PHARMD
• Greater Love International
• Greater Philadelphia Health Action Incorporated
• Sheveen Rashema Greene-Adenaike, AGNP
• Amanda Ashley Greenspan, DO

• In Home Supportive Care Agency in Darby, PA
• Providers in Darby, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.