Gracious Group Care Agency,LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACIOUS GROUP CARE AGENCY,LLC

Practice address

449 W Centennial St
Spartanburg, SC 29303-2767

Phone

(864) 444-0493

Fax

(864) 450-9060

NPI assigned

Oct 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Igwe, PHD

Title

Executive Director

Phone

(864) 444-0493

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1689390809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEADOW SPRINGS LN",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501005",
            "telephone_number": "864-444-0493",
            "fax_number": "864-450-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 W CENTENNIAL ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293032767",
            "telephone_number": "864-444-0493",
            "fax_number": "864-450-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS GROUP CARE AGENCY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "IGWE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "864-444-0493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.