Graceful Journey Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GRACEFUL JOURNEY HOMECARE

Practice address

5102 N 166TH PLZ Apt B202
Omaha, NE 68116-3795

Phone

(402) 212-6406

NPI assigned

Feb 4, 2025

Organization subpart

No

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

Authorized official

Name

Glenell A Clark

Title

Owner

Phone

(402) 212-6406

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1992519680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 N 166TH PLZ APT B202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163795",
            "telephone_number": "402-212-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 N 166TH PLZ APT B202",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163795",
            "telephone_number": "402-212-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL JOURNEY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "GLENELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-212-6406"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahana Grace
• Michael Patrick Grace, M.D.
• So Yun Park Grace, MD
• Trevor Grace, PHARM.D.
• Westy Grace
• Graceland Senior Living, Inc.
• Marlen Gracia
• Jerome F Gradoville, DDS
• Steven J Gradowski, OD
• Rochelle Grady, RN

• In Home Supportive Care Agency in Omaha, NE
• Providers in Omaha, NE by specialty
• In Home Supportive Care Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.