Gracified Healthcare LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

GRACIFIED HEALTHCARE LLC

Practice address

8 Balmoral Cir
Odessa, TX 79765-2333

Phone

(512) 809-7273

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Uzoma Michael Akah

Title

Founder

Phone

(512) 809-7273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1770171712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BALMORAL CIR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652333",
            "telephone_number": "512-809-7273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BALMORAL CIR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652333",
            "telephone_number": "512-809-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIFIED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "AKAH",
        "authorized_official_first_name": "UZOMA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "512-809-7273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jann Ronald Gordils Torres
• Isis Gordon
• Jonathan Gordon, DDS
• Tashawndra Govan
• Ayush Goyal, MD
• Catherine Graham, FNP-C
• Carolyn Mae Grametbaur
• Sara Elizabeth Gray, AU.D.
• Amaariya Destiny Green
• Angela Green, FNP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Odessa, TX
• Providers in Odessa, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.