Compassionate Gracious LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

TP03755700 Issued in NJ

Legal business name

COMPASSIONATE GRACIOUS LLC

Practice address

916 Painter LN
Manahawkin, NJ 08050-2109

Phone

(609) 978-4276

Fax

(609) 549-5159

NPI assigned

Sep 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Lucchio

Title

President

Phone

(917) 330-2905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1316131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316131200000",
    "number": "1891077640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 PAINTER LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502109",
            "telephone_number": "609-978-4276",
            "fax_number": "609-549-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 PAINTER LN",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502109",
            "telephone_number": "609-978-4276",
            "fax_number": "609-549-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE GRACIOUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A",
        "authorized_official_last_name": "LUCCHIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-330-2905",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "TP03755700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.