Organization Active NPI

Graceland Home Health Services, LLC

  • Home Health Agency
  • Canal Winchester, OH
National Provider Identifier
1619653102
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACELAND HOME HEALTH SERVICES, LLC
Practice address
3972 Sophie Pearl LN
Canal Winchester, OH 43110-3547
Phone
(614) 446-9842
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Smith Mforsong Acha
Title
Executive Director
Phone
(614) 446-9842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3972 Sophie Pearl LN
Canal Winchester, OH 43110-3547

Mailing address

3972 Sophie Pearl LN
Canal Winchester, OH 43110-3547

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1619653102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3972 SOPHIE PEARL LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431103547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 SOPHIE PEARL LN",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431103547",
            "telephone_number": "614-446-9842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACELAND HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "ACHA",
        "authorized_official_first_name": "SMITH",
        "authorized_official_middle_name": "MFORSONG",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-446-9842"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.