Organization Active NPI

Gracious Health & Human Services Inc

  • Community/Behavioral Health Agency
  • Lawrenceville, GA
National Provider Identifier
1861104648
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GRACIOUS HEALTH & HUMAN SERVICES INC
Doing business as
Gracious Health & Human Services Inc
Practice address
223 Scenic Hwy Ste 100
Lawrenceville, GA 30046-5603
Phone
(404) 353-7037
Fax
(404) 239-3903
NPI assigned
Dec 23, 2022
Last updated
Dec 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
Dr. Daniel Ikpechukwu, PHDNPI 1942553706
Title
Ceo/Clinical Director
Phone
(404) 353-7037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

223 Scenic Hwy Ste 100
Lawrenceville, GA 30046-5603

Mailing address

PO Box 1112
Lawrenceville, GA 30046-1112
Phone (404) 353-7037

Other names 1

  • Gracious Health & Human Services Inc Doing business as

National Provider Directory

National Provider Directory

Locations

223 Scenic Hwy
Ste 100
Lawrenceville, GA 30046
Phone (770) 402-0966

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1861104648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300461112",
            "telephone_number": "404-353-7037",
            "fax_number": "404-239-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 SCENIC HWY STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465603",
            "telephone_number": "404-353-7037",
            "fax_number": "404-239-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HEALTH & HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "IKPECHUKWU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-353-7037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gracious Health & Human Services Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.