Organization Active NPI

Gracefully Yours

  • Home Health Agency
  • Shreveport, LA
National Provider Identifier
1891381075
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFULLY YOURS
Practice address
959 Town North Dr
Shreveport, LA 71107-2835
Phone
(318) 464-1989
NPI assigned
Dec 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Christy Mims, LPN
Title
Owner
Phone
(318) 464-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

959 Town North Dr
Shreveport, LA 71107-2835

Mailing address

959 Town North Dr
Shreveport, LA 71107-2835
Phone (318) 464-1989

Other identifiers 1

IdentifierTypeStateIssuer
00000000000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Gracefullyyoursllc@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1891381075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 TOWN NORTH DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072835",
            "telephone_number": "318-464-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 TOWN NORTH DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072835",
            "telephone_number": "318-464-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLY YOURS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-464-1989",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "00000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Gracefullyyoursllc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "959 Town North Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711072835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.