NPIMap

Organization Active NPI

Gracious Services Inc.

  • Developmentally Disabled Services Day Training Agency
  • Fanwood, NJ
National Provider Identifier
1659953222
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
GRACIOUS SERVICES INC.
Practice address
25 South Ave
Fanwood, NJ 07023-1518
Phone
(908) 233-0005
Fax
(908) 233-0223
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Bayo Badmus
Title
Ceo
Phone
(908) 233-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

25 South Ave
Fanwood, NJ 07023-1518

Mailing address

208 Lenox Ave # 353
Westfield, NJ 07090-5120
Phone (908) 233-0005

National Provider Directory

National Provider Directory
Tax ID family
Gracious Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1659953222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LENOX AVE # 353",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070905120",
            "telephone_number": "908-233-0005",
            "fax_number": "908-233-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SOUTH AVE",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231518",
            "telephone_number": "908-233-0005",
            "fax_number": "908-233-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "BADMUS",
        "authorized_official_first_name": "BAYO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "908-233-0005"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.