Graceful Haven

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GRACEFUL HAVEN

Practice address

5101 Hampton Meadows Rd
Monroe, NC 28110-9352

Phone

(704) 839-3260

NPI assigned

Mar 6, 2026

Organization subpart

No

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

Authorized official

Name

Nichelle Monique Heath, HEATH

Title

Owner

Phone

(704) 839-3260

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1841146495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 HAMPTON MEADOWS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109352",
            "telephone_number": "704-839-3260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 HAMPTON MEADOWS RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281109352",
            "telephone_number": "704-839-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "NICHELLE",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-839-3260",
        "authorized_official_credential": "HEATH"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shantivia Boneparte Goodwin
• Jessica Gordon, OTR/L
• Timothy Gosnell, PT, DPT
• Jennifer Gottlieb, PT
• Magdalena Grabowska
• Ronnabelle Berdos Grasso, PT, DPT
• Chelsey Monet Emma Gravely, FNP-C
• Kandace Leigh Graves, LCMHC
• Laura Gray, CCC-SLP
• Greater Grace Group Home Incorporated

• Mental Illness Community Based Residential Treatment Facility in Monroe, NC
• Providers in Monroe, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.