Gracious Haven Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GRACIOUS HAVEN HEALTHCARE LLC

Practice address

3843 E Presidio Rd
Tucson, AZ 85716-1736

Phone

(520) 975-3119

Fax

(520) 844-1522

NPI assigned

Jan 13, 2016

Last updated

Jan 13, 2016By 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

Mrs. Christie Gagnon

Title

Office Manager

Phone

(520) 975-3119

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1790141281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64636",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284636",
            "telephone_number": "520-975-3119",
            "fax_number": "520-844-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3843 E PRESIDIO RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161736",
            "telephone_number": "520-975-3119",
            "fax_number": "520-844-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HAVEN HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "520-975-3119",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karla J. Gracia, LPC
• Samantha Lynette Graciano
• Brian L Gracy, PT
• Laura Amy Gracy
• Roni Grad, M.D.
• Ernest L Gradillas, M.D.
• Elizabeth Kathleen Grady, NMD DOCTOR OF NATURO

• Home Health Agency in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.