Organization Active NPI

Graceful in Home Living, LLC

  • In Home Supportive Care Agency
  • Palmetto, FL
National Provider Identifier
1689327397
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACEFUL IN HOME LIVING, LLC
Practice address
2408 1St Ave E
Palmetto, FL 34221-2705
Phone
(941) 226-3573
NPI assigned
Feb 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Laterria Mann
Title
Administrator
Phone
(941) 226-3573

Specialties & licenses 1

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

Addresses

Primary practice location

2408 1St Ave E
Palmetto, FL 34221-2705

Mailing address

2408 1St Ave E
Palmetto, FL 34221-2705

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1689327397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 1ST AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 1ST AVE E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342212705",
            "telephone_number": "941-226-3573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL IN HOME LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "LATERRIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "941-226-3573"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.