Organization Active NPI

Graceful Living Home Health Care LLC

  • Home Health Agency
  • Puyallup, WA
National Provider Identifier
1801716261
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL LIVING HOME HEALTH CARE LLC
Practice address
12020 Sunrise Blvd E Apt J206
Puyallup, WA 98374-8018
Phone
(405) 318-1779
NPI assigned
Jul 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Clovis Akam Ngwa, CNA
Title
Owner
Phone
(405) 318-1779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12020 Sunrise Blvd E Apt J206
Puyallup, WA 98374-8018

Mailing address

12020 Sunrise Blvd E Apt J206
Puyallup, WA 98374-8018
Phone (405) 318-1779

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1801716261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12020 SUNRISE BLVD E APT J206",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748018",
            "telephone_number": "405-318-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12020 SUNRISE BLVD E APT J206",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748018",
            "telephone_number": "405-318-1779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "NGWA",
        "authorized_official_first_name": "CLOVIS",
        "authorized_official_middle_name": "AKAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-318-1779",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.