Gracious Heart Afh, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

GRACIOUS HEART AFH, LLC

Practice address

650 S 198TH St
Des Moines, WA 98148-2442

Phone

(469) 672-7183

NPI assigned

Nov 25, 2025

Organization subpart

No

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

Authorized official

Name

Mark Ngewa

Title

Provider

Phone

(469) 672-7183

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1861354003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 S 198TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981482442",
            "telephone_number": "469-672-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 S 198TH ST",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981482442",
            "telephone_number": "469-672-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIOUS HEART AFH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "NGEWA",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "469-672-7183"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jines C Gonzales, RN
• Georgina Gonzalez, LMT WA#61446643
• Amber Marie Goodman, LMP
• Michael S Grabinski, M.D., M.P.H.
• John M Gracia
• Adriana Grados
• Green Dentistry
• Eric Armand Guillemette, DC
• Angelique Ha, RDH
• Kelly Haddenham

• Registered Nurse in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.