NPIMap

Organization Active NPI

Graceful Home Care LLC

  • In Home Supportive Care Agency
  • Indianapolis, IN
National Provider Identifier
1619767316
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFUL HOME CARE LLC
Practice address
5251 S East St Ste 3
Indianapolis, IN 46227-2041
Phone
(978) 237-1093
NPI assigned
May 7, 2025
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Priscilla MukubaNPI 1639885262
Title
Owner
Phone
(978) 237-1093

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

5251 S East St Ste 3
Indianapolis, IN 46227-2041

Mailing address

2248 Maple Stone LN
Greenwood, IN 46143-3835

National Provider Directory

National Provider Directory

Locations

5251 S East St
Ste 3
Indianapolis, IN 46227
Phone (978) 237-1093

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1619767316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2248 MAPLE STONE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461433835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5251 S EAST ST STE 3",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462272041",
            "telephone_number": "978-237-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "MUKUBA",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-237-1093"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.