Organization Active NPI

Aging Gracefully Residence Care, LLC

  • Home Health Registered Nurse
  • Orlando, FL
National Provider Identifier
1982470159
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
AGING GRACEFULLY RESIDENCE CARE, LLC
Practice address
1983 Skidmore Ave
Orlando, FL 32826-4616
Phone
(407) 587-6476
NPI assigned
Nov 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Emmanuella A Richman
Title
Ceo
Phone
(407) 587-6476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

1983 Skidmore Ave
Orlando, FL 32826-4616

Mailing address

1983 Skidmore Ave
Orlando, FL 32826-4616
Phone (407) 587-6476

Other names 1

  • Aging Gracefully Residence Care, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1982470159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 SKIDMORE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264616",
            "telephone_number": "407-587-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 SKIDMORE AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328264616",
            "telephone_number": "407-587-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING GRACEFULLY RESIDENCE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "EMMANUELLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-587-6476"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging Gracefully Residence Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.