Gracious Care Agency

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACIOUS CARE AGENCY

Practice address

5 Fountain Dr
Stafford, VA 22554-7298

Phone

(571) 435-7132

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Esi Afoa Bansah Nyankah

Title

Chief Operations Officer

Phone

(571) 435-7132

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1699537993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FOUNTAIN DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547298",
            "telephone_number": "571-435-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FOUNTAIN DR",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547298",
            "telephone_number": "571-435-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "BANSAH NYANKAH",
        "authorized_official_first_name": "ESI",
        "authorized_official_middle_name": "AFOA",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "571-435-7132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawnielle Monique Goodwin, MA, BCBA, LBA
• Christine Gordon, MS, CCC-SLP
• Kathleen Ann Gorham, CRNP-A
• Grace Health Services LLC
• Graceful Caregivers LLC
• Pamela Grady, OT
• Matthew Stephen Graessle, DPT
• Jessica Granados
• Lisa Marie Grant-McDonald, DPM
• Sasha Gray, MSN, CPNP-PC

• In Home Supportive Care Agency in Stafford, VA
• Providers in Stafford, VA by specialty
• In Home Supportive Care Agency in Virginia

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