Graceful Homes LLC

Primary specialty

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

Legal business name

GRACEFUL HOMES LLC

Practice address

1670 Saint Clair Ave E
North Fort Myers, FL 33903-4649

Phone

(305) 763-1188

NPI assigned

Aug 10, 2026

Organization subpart

No

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

Authorized official

Name

Penninah Mukiri

Title

Owner

Phone

(305) 763-1188

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1801711932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 MIRAMAR PKWY # 245",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330274134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SAINT CLAIR AVE E",
            "city": "NORTH FORT MYERS",
            "state": "FL",
            "postal_code": "339034649",
            "telephone_number": "305-763-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "MUKIRI",
        "authorized_official_first_name": "PENNINAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-763-1188"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam Gharghory, RPH
• Giana Medical Center Clinica Hispana Corp
• Kia Ayana Glimps-Smith
• Susan Rachel Goins, SUPPORT COORDINATOR
• Mary-Ann Gonzalez
• Lessie Greene
• Kenneth K Greenwood, MD
• Raven Grimm
• Keylin Natalia Gutierrez Rodriguez
• Guy Ditommaso DC PA

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Fort Myers, FL
• Providers in North Fort Myers, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.