A Graceful Way, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

201317810050 Issued in CA

Legal business name

A GRACEFUL WAY, LLC

Doing business as

A Graceful Way In-home Care

Practice address

6307 5TH Ave
Los Angeles, CA 90043-4257

Phone

(310) 857-9644

Fax

(323) 753-6645

NPI assigned

Jul 1, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Sullivan Reedom

Title

Owner/Ceo

Phone

(310) 857-9644

Specialties & licenses 1

Addresses

Other names 1

• A Graceful Way In-home Care Doing business as

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404172800000",
    "number": "1720494578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 5TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434257",
            "telephone_number": "310-857-9644",
            "fax_number": "323-753-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 5TH AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434257",
            "telephone_number": "310-857-9644",
            "fax_number": "323-753-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GRACEFUL WAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2014-07-01",
        "status": "A",
        "authorized_official_last_name": "REEDOM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "SULLIVAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-857-9644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "201317810050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Graceful Way In-home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; 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.