Organization Active NPI

Graceful Living Home Health LLC

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1912886193
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACEFUL LIVING HOME HEALTH LLC
Practice address
1756 Brice Rd
Reynoldsburg, OH 43068-2708
Phone
(216) 632-5940
NPI assigned
Sep 1, 2025
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Jenarius Taku
Title
Administrator
Phone
(216) 632-5940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1756 Brice Rd
Reynoldsburg, OH 43068-2708

Mailing address

1756 Brice Rd
Reynoldsburg, OH 43068-2708
Phone (216) 632-5940

National Provider Directory

National Provider Directory

Locations

1756 Brice Rd
Reynoldsburg, OH 43068
Phone (216) 632-5940

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1912886193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1756 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682708",
            "telephone_number": "216-632-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 BRICE RD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682708",
            "telephone_number": "216-632-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL LIVING HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "TAKU",
        "authorized_official_first_name": "JENARIUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-632-5940"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.