Provider Demographics
NPI:1477440162
Name:GRACEFUL LIVING HOMECARE LLC
Entity type:Organization
Organization Name:GRACEFUL LIVING HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:OMOLADUN
Authorized Official - Last Name:AKINTOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:971-331-3847
Mailing Address - Street 1:811 TWIN EDGE DR
Mailing Address - Street 2:
Mailing Address - City:ROYSE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:75189-8814
Mailing Address - Country:US
Mailing Address - Phone:971-331-3847
Mailing Address - Fax:903-213-1653
Practice Address - Street 1:811 TWIN EDGE DR
Practice Address - Street 2:
Practice Address - City:ROYSE CITY
Practice Address - State:TX
Practice Address - Zip Code:75189-8814
Practice Address - Country:US
Practice Address - Phone:971-331-3847
Practice Address - Fax:903-213-1653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-23
Last Update Date:2025-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care