Organization Active NPI

Gracious Home Care LLC

  • In Home Supportive Care Agency
  • Odenton, MD
National Provider Identifier
1750965307
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRACIOUS HOME CARE LLC
Practice address
8313 Telegraph Rd Apt 240
Odenton, MD 21113-1389
Phone
(301) 801-4718
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Abdoul Diawara
Title
Owner
Phone
(301) 917-4622

Specialties & licenses 1

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

Addresses

Primary practice location

8313 Telegraph Rd Apt 240
Odenton, MD 21113-1389

Mailing address

8313 Telegraph Rd Apt 240
Odenton, MD 21113-1389
Phone (301) 801-4718

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1750965307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 TELEGRAPH RD APT 240",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131389",
            "telephone_number": "301-801-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 TELEGRAPH RD APT 240",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131389",
            "telephone_number": "301-801-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "DIAWARA",
        "authorized_official_first_name": "ABDOUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-917-4622"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.