Graceful Grove LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GRACEFUL GROVE LLC

Doing business as

Graceful Grove

Practice address

4240 Al Carrison St
Las Vegas, NV 89129-4845

Phone

(702) 606-1993

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Nicholas Klapp

Title

Owner

Phone

(702) 606-1993

Specialties & licenses 2

Addresses

Other names 1

• Graceful Grove Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1649096041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 AL CARRISON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294845",
            "telephone_number": "702-606-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 AL CARRISON ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891294845",
            "telephone_number": "702-606-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL GROVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "KLAPP",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-606-1993"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kara Grace
• Michelle Grace, LPN
• Shannon Grace
• Shi'Ree Amir Grace
• Xavier Grace
• Graceful Touch
• Graceful Touch, LLC
• Graceful Touch, LLC
• Graceful Touch, LLC
• Amanda Gracia, MD

• Custodial Care Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Custodial Care Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.