Graceful Aging LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFUL AGING LLC

Practice address

1200 Westport RDG
Crystal Lake, IL 60014-8989

Phone

(847) 226-0189

NPI assigned

May 27, 2024

Last updated

May 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edith Sandra Mugisha

Title

Partner

Phone

(224) 340-2365

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1932949179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WESTPORT RDG",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148989",
            "telephone_number": "847-226-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 WESTPORT RDG",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600148989",
            "telephone_number": "847-226-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL AGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "MUGISHA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "SANDRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "224-340-2365"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olesea Gore, LPC
• Lorena A. Gorey, ED.D.
• Ann Gorski, PT
• Crisy Gowan
• Sandra Lukic Graba, MD
• Gretchen Graham, D.C., PT
• Brooke Nicole Grandt
• Granted Mental Health Services PLLC
• Amber Elizabeth Gratz
• Mark Norman Gravdal, R.PH., CGP

• In Home Supportive Care Agency in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• In Home Supportive Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2024; 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.