NPIMap

Organization Active NPI

Graceful Living LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Anchorage, AK
National Provider Identifier
1629203450
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
HC37041 Issued in AK
Legal business name
GRACEFUL LIVING LLC
Doing business as
same
Practice address
6300 E 9TH Ave
Anchorage, AK 99504-1720
Phone
(907) 929-2431
Fax
(907) 338-3012
NPI assigned
May 22, 2009
Organization subpart
Yes
Parent organization
GRACEFUL LIVING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Christiana Ilusen Ulofoshio, LPN
Title
Owner/Administrator
Phone
(907) 929-2431

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X HC3704 AK
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X HC37041 AK Primary

Addresses

Primary practice location

6300 E 9TH Ave
Anchorage, AK 99504-1720

Mailing address

6300 E 9TH Ave
Anchorage, AK 99504-1720
Phone (907) 929-2431

Other identifiers 1

IdentifierTypeStateIssuer
1548461445MedicaidAK

Other names 1

  • same Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Graceful Living LLC4 organizations share this tax ID, including this one
Part of
Graceful Living LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1629203450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 E 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041720",
            "telephone_number": "907-929-2431",
            "fax_number": "907-338-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 E 9TH AVE",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995041720",
            "telephone_number": "907-929-2431",
            "fax_number": "907-338-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACEFUL LIVING LLC",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "ULOFOSHIO",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_middle_name": "ILUSEN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "907-929-2431",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AK",
            "license": "HC3704",
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AK",
            "license": "HC37041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548461445",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.