Gracefullee Driven Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFULLEE DRIVEN HOME CARE LLC

Practice address

2555 E 55TH Place
Suite 209
Indianapolis, IN 46220

Phone

(317) 358-3110

Fax

(317) 754-0947

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Vanity M Lee

Title

Owner

Phone

(317) 358-3110

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1992459036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 E 55TH PLACE",
            "address_2": "SUITE 209",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-358-3110",
            "fax_number": "317-754-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 E 55TH PLACE",
            "address_2": "SUITE 209",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46220",
            "telephone_number": "317-358-3110",
            "fax_number": "317-754-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFULLEE DRIVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VANITY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-358-3110"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Grace, AGACNP-BC
• Graceful Aging Home Care
• Graceful Aging Home Health Care LLC
• Graceful Home Care LLC
• Graceful Living Home Care Agency LLC
• Gracefully at Home Personal Care LLC
• Connie Grachico
• Charlotte Graciano Martinez, RBT
• Gracious Beginnings LLC
• Gracious Living Homecare

• In Home Supportive Care Agency in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.