GRACEFUL LIVING LLC (NPI# 1932379351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932379351 |
| Entity Type | Organization |
| Organization Name | GRACEFUL LIVING LLC |
| Practice Address |
1100 Friendly Ln 6600 East 11th Ave Anchorage AK 99504-2024 |
| Mailing Address |
6300 E 9th Ave 1100 Friendly Lane Anchorage AK 99504-1720 |
| Practice Telephone | 9073380444 |
| Practice Fax Number | 9073385768 |
| Mailing Telephone | 9073383135 |
| Mailing Fax Number | 9073383012 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | CHRISTIANA ILOSEN ULOFOSHIO (ADMINISTRATOR) |
| Authorized Official Telephone | 9073383135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | 34390000X | AK | Transportation Services |
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
385HR2060 | AK | Respite Care Facility |
| N | 344600000X | Taxi | 3446OOOOX TAXI | AK | Transportation Services |
| Y | 385H00000X | Respite Care | 385HR0000X | AK | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | 1548461445 | 05 | |
| AK | HC3704 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548461445 | Graceful Living LLC | Custodial Care Facility | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2007-05-29 |
| 1255665303 | Graceful Living LLC | Non-emergency Medical Transport (VAN) | 24500 Center Ridge Rd, # 135, Westlake, OH 44145-5601 | 2009-09-22 |
| 1700014727 | Graceful Living LLC | Respite Care | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2009-06-29 |
| 1629203450 | Graceful Living LLC | Respite Care | 6300 E 9th Ave, Anchorage, AK 99504-1720 | 2009-05-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | GRACEFUL LIVING LLC | 23511 Ne 178th St, Brush Prairie, WA 98606-7755 |
| Oklahoma Business Registrations | GRACEFUL LIVING LLC | 406 W. Delaware St, Tahlequah, OK 74464 |
| Street Address |
1100 FRIENDLY LN 6600 EAST 11TH AVE |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99504-2024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962011593 | Deyoung Dentistry, LLC | Clinic/Center | 2601 Boniface Parkway Suite 1, Anchorage, AK 99504 | 2020-07-29 |
| 1881257475 | Tirzah Shelton | Psychologist | Veteran Affairs Clinic, 1201 North Muldoon, Anchorage, AK 99504 | 2019-04-18 |
| 1831651652 | Mekennah Ward | Massage Therapist | 7731 Northern Lights Blvd, #220, Anchorage, AK 99504 | 2019-04-01 |
| 1952883266 | Quality & Quantity Care Services LLC | Custodial Care Facility | 848 Elaine Dr, Anchorage, Ak, 99504, The Same, Anchorage, AK 99504 | 2018-09-04 |
| 1659858587 | Chloe Janelle Escalante | Psychologist | 511 Oaklahoma St., Apt 2, Anchorage, AK 99504 | 2018-07-24 |
| 1184100141 | Haa LLC | Durable Medical Equipment & Medical Supplies | 1409 Twining Dr, Anchorage, AK 99504 | 2018-07-12 |
| 1831626225 | Christian Wilfred, Thomas Garrett | Social Worker | 1201 N Mulddon Rd, Anchorage, AK 99504 | 2017-05-16 |
| 1609309954 | Rowena R Jones | Assisted Living Facility | 4009 Scenic View, Anchorage, AK 99504 | 2017-04-04 |
| 1982156733 | Agape Care Coordination LLC | Case Manager/Care Coordinator | 2050 Paxson Dr., Anchorage, AK 99504 | 2016-10-27 |
| 1649626169 | Pa Lou Vang | Registered Nurse | 7404 E 4th Ave Unit B, Anchorage, AK 99504 | 2016-05-13 |
| Find all providers in zip 99504 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668718 | Turnagain Assisted Living LLC. | Respite Care | 3406 Seppala Dr Unit B, Anchorage, AK 99517-1143 | 2020-01-23 |
| 1518500297 | Lamin St Jammeh | Respite Care | 7924 Parkway Dr, Anchorage, AK 99504-2840 | 2019-10-24 |
| 1548744469 | Independence Lodge, LLC | Respite Care | 6941 Stanley Dr, Anchorage, AK 99518-2163 | 2018-09-17 |
| 1255769899 | A Loving Care PCa | Respite Care | 343 W Benson Blvd Ste 4, Anchorage, AK 99503-3950 | 2013-10-17 |
| 1528358207 | Divine Mercy II Alh, LLC | Respite Care | 417 E 11th Ave Apt 5, Anchorage, AK 99501-4560 | 2011-04-14 |
| 1821299884 | Trinion Quality Care Services, Inc. | Respite Care | 3700 Woodland Dr., Suite 500, Anchorage, AK 99517-2567 | 2007-05-29 |
| 1619186145 | Pals Palace Assistant Living Home | Respite Care | 2220 E 53rd Ave, Anchorage, AK 99507-1661 | 2007-05-22 |
| 1003035627 | Northern Lighthouse Day Center | Respite Care | 403 E 24th Ave, Anchorage, AK 99503-2107 | 2007-04-24 |
| 1902024177 | Alaska Care Group, Inc | Respite Care | 1199 E Dimond Blvd, Suite 101, Anchorage, AK 99515-2011 | 2007-04-23 |
| 1851514624 | Tlc Assisted Living Home | Respite Care | 2401 Oak Dr, Anchorage, AK 99508-3267 | 2007-04-10 |
| Find all providers in ANCHORAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.