Organization Active NPI

At Home Gracefully LLC

  • In Home Supportive Care Agency
  • Louisville, KY
National Provider Identifier
1871432153
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AT HOME GRACEFULLY LLC
Practice address
1107 Payne St
Louisville, KY 40204-2313
Phone
(502) 509-6233
NPI assigned
Mar 25, 2026
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Talisha L Outlaw
Title
Owner
Phone
(502) 509-6233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1107 Payne St
Louisville, KY 40204-2313

Mailing address

1107 Payne St
Louisville, KY 40204-2313
Phone (502) 509-6233

National Provider Directory

National Provider Directory
Tax ID family
At Home Gracefully LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1871432153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 PAYNE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042313",
            "telephone_number": "502-509-6233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 PAYNE ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402042313",
            "telephone_number": "502-509-6233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME GRACEFULLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "OUTLAW",
        "authorized_official_first_name": "TALISHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-509-6233"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.