Graceful Aging Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

357756 Issued in MN

Legal business name

GRACEFUL AGING HEALTH CARE INC

Practice address

5701 Shingle Creek Pkwy Ste 250E
Brooklyn Center, MN 55430-2335

Phone

(763) 307-9252

Fax

(763) 575-8845

NPI assigned

Jun 28, 2012

Organization subpart

No

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

Authorized official

Name

Amie Cham Secka

Title

President

Phone

(763) 307-9252

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1780948380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 250E",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302335",
            "telephone_number": "763-307-9252",
            "fax_number": "763-575-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 250E",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302335",
            "telephone_number": "763-307-9252",
            "fax_number": "763-575-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL AGING HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "CHAM SECKA",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-307-9252"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "357756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodfaith Medical Supply Inc
• Goodness Ans Mercy Health Services, Incorporated
• Goshen Health Services LLC
• Adrianne Jannibah Gould, COMMUNITY HEALTH
• Grace at Home Care LLC
• Graceful Lodge, LLC
• Graceland Homes
• Brenda Graham
• Marion Graham
• Joseph John Grahek, C.M.T

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.