Provider Demographics
NPI:1326665589
Name:GRACEFUL HOME, LLC.
Entity Type:Organization
Organization Name:GRACEFUL HOME, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-424-2785
Mailing Address - Street 1:3100 SE ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66605-2633
Mailing Address - Country:US
Mailing Address - Phone:785-424-2785
Mailing Address - Fax:785-215-8121
Practice Address - Street 1:3100 SE ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66605-2633
Practice Address - Country:US
Practice Address - Phone:785-764-3952
Practice Address - Fax:785-215-8121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living FacilityGroup - Single Specialty
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No385H00000XRespite Care FacilityRespite Care