Gracie Homecare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GRACIE HOMECARE LLC

Practice address

2745 Sudbury Trce
Norcross, GA 30071-2768

Phone

(770) 309-4660

NPI assigned

Sep 5, 2023

Organization subpart

No

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

Authorized official

Name

Tosin Jumoke AdesinaNPI 1831923804

Title

Administrator

Phone

(770) 309-4660

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tosin Adesina

  • Behavior Technician
  • Columbia, MD
  • NPI 1831923804
  NPD Authorized official

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1891571899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 SUDBURY TRCE",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 SUDBURY TRCE",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712768",
            "telephone_number": "770-309-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "ADESINA",
        "authorized_official_first_name": "TOSIN",
        "authorized_official_middle_name": "JUMOKE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-309-4660"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamal Gordon
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• Gracelyn Home Care, LLC
• Heather Grafton, APRN, FNP-C
• Mary Graham, PT
• Monique Grant, LNMT
• Grassroot Tender Care
• Barry L. Grau, MED

• All providers in Norcross, GA
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.