Organization Active NPI

Stay Graceful Inc

  • In Home Supportive Care Agency
  • Rapid City, SD
National Provider Identifier
1972164523
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
STAY GRACEFUL INC
Practice address
1719 W Main St # 208
Rapid City, SD 57702-2564
Phone
(605) 679-7829
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Jessica Olson
Title
Ceo
Phone
(605) 679-7829

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

1719 W Main St # 208
Rapid City, SD 57702-2564

Mailing address

3115 Stockade Dr
Rapid City, SD 57702-5065

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://jolson78290.onetouchemr.com/administration/login Direct

National Provider Directory

National Provider Directory

Locations

1719 W Main St
#208
Rapid City, SD 57702
Phone (605) 679-7829

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1972164523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 STOCKADE DR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577025065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 W MAIN ST # 208",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577022564",
            "telephone_number": "605-679-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAY GRACEFUL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "605-679-7829"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://jolson78290.onetouchemr.com/administration/login",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1719 W Main St # 208",
            "city": "Rapid City",
            "state": "SD",
            "country_code": "US",
            "postal_code": "577022564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.