Organization Active NPI

Graceful Living in Home Care, LLC

  • In Home Supportive Care Agency
  • Rock Hill, SC
National Provider Identifier
1679328850
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFUL LIVING IN HOME CARE, LLC
Doing business as
Graceful Living In Home Care, LLC
Practice address
135 E Main St Ste 212
Rock Hill, SC 29730-4892
Phone
(803) 973-6060
NPI assigned
Apr 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Mrs. Antonde Tyese CrawfordNPI 1417543414
Title
Ceo
Phone
(803) 320-5313

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

135 E Main St Ste 212
Rock Hill, SC 29730-4892

Mailing address

135 E Main St Ste 212
Rock Hill, SC 29730-4892
Phone (803) 973-6060

Other names 1

  • Graceful Living In Home Care, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

135 E Main St
Ste 212
Rock Hill, SC 29730
Phone (803) 973-6060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1679328850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST STE 212",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304892",
            "telephone_number": "803-973-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST STE 212",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304892",
            "telephone_number": "803-973-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING IN HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-21",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "ANTONDE",
        "authorized_official_middle_name": "TYESE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "803-320-5313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graceful Living In Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.