Provider Demographics
NPI:1104793223
Name:GRACEFUL DAYS ADULT CARE
Entity type:Organization
Organization Name:GRACEFUL DAYS ADULT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDS HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-986-7981
Mailing Address - Street 1:5265 CAROLINA HWY
Mailing Address - Street 2:
Mailing Address - City:DENMARK
Mailing Address - State:SC
Mailing Address - Zip Code:29042-1685
Mailing Address - Country:US
Mailing Address - Phone:843-986-7981
Mailing Address - Fax:
Practice Address - Street 1:5265 CAROLINA HWY
Practice Address - Street 2:
Practice Address - City:DENMARK
Practice Address - State:SC
Practice Address - Zip Code:29042-1685
Practice Address - Country:US
Practice Address - Phone:843-986-7981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No174200000XOther Service ProvidersMeals