Organization Active NPI

Graceful Integrity Home Care, LLC

  • Homemaker
  • Fort Lauderdale, FL
National Provider Identifier
1962088583
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
GRACEFUL INTEGRITY HOME CARE, LLC
Practice address
2936 NW 10TH CT
Fort Lauderdale, FL 33311-5610
Phone
(786) 419-9003
NPI assigned
Mar 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Cathyna Amertis
Title
Director/Ceo
Phone
(786) 419-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193400000X SINGLE SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

2936 NW 10TH CT
Fort Lauderdale, FL 33311-5610

Mailing address

2936 NW 10TH CT
Fort Lauderdale, FL 33311-5610
Phone (786) 419-9003

Other identifiers 1

IdentifierTypeStateIssuer
109351700MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1962088583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 NW 10TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115610",
            "telephone_number": "786-419-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 NW 10TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333115610",
            "telephone_number": "786-419-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL INTEGRITY HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "AMERTIS",
        "authorized_official_first_name": "CATHYNA",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "786-419-9003"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109351700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.