Graceful Personalcare Home, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

GRACEFUL PERSONALCARE HOME, LLC

Practice address

5124 Buena Vista Rd
Columbus, GA 31907-5108

Phone

(706) 587-3302

Fax

(844) 808-0440

NPI assigned

Aug 12, 2026

Organization subpart

No

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

Authorized official

Name

Rosie B Washington

Title

Owner

Phone

(706) 587-3302

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1912822578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075108",
            "telephone_number": "706-587-3302",
            "fax_number": "844-808-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5124 BUENA VISTA RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075108",
            "telephone_number": "706-587-3302",
            "fax_number": "844-808-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL PERSONALCARE HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-587-3302"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Breniah Graddy
• Ceminthia Jenea Graham, LCSW
• Jane Mills Graham, RPH
• Karla Graham

• Custodial Care Facility in Columbus, GA
• Providers in Columbus, GA by specialty
• Custodial Care Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.