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GRACEFUL VENTURES HOME HEALTH CARE LLC
NPI 1073322293
Home Health in Prospect Park, PA

Active since January 02, 2025CLIA 39D2325520 · Waiver
1038 LINCOLN AVE FL 1, PROSPECT PARK, PA 19076(267) 206-7591 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2025, Jan 2, 2025 (2 updates tracked since 2025).

About Graceful Ventures Home Health Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACEFUL VENTURES HOME HEALTH CARE LLC (NPI 1073322293) is a healthcare organization registered as a home health in Prospect Park, Pennsylvania and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Michael K Gbenga, President, as its authorized official.

NPPES Registry Identity

NPI1073322293
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameGRACEFUL VENTURES HOME HEALTH CARE LLC
Location Address1038 LINCOLN AVE FL 1Prospect Park, PA 19076-2218
Mailing Address1038 Lincoln Ave Fl 1Prospect Park, PA 19076-2218 · (267) 206-7591
Phone(267) 206-7591
Organization SubpartNo
Authorized OfficialMichael K GbengaPresident · (215) 730-3044
Enumeration DateJanuary 2, 2025
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1073322293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1038 LINCOLN AVE FL 1, Prospect Park, PA 19076
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2325520

Graceful Ventures Home Hlth Care LLC · Upper Chichester, PA
Active · expires Jun 15, 2027
CLIA Number39D2325520
Laboratory TypeHome Health Agency
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorMagnus T. Stevens
Laboratory Phone(267) 206-7591
Laboratory LocationGraceful Ventures Home Hlth Care LLC2612 9th Ave, Upper Chichester, PA 19061
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graceful Ventures Home Health Care LLC's NPI number?

The NPI number for Graceful Ventures Home Health Care LLC is 1073322293. It was assigned to this organization in the NPPES registry on January 2, 2025.

Where is Graceful Ventures Home Health Care LLC located?

Graceful Ventures Home Health Care LLC is located at 1038 Lincoln Ave Fl 1, Prospect Park, PA 19076. The listed phone number is (267) 206-7591.

What is Graceful Ventures Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Graceful Ventures Home Health Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2325520) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Graceful Ventures Home Health Care LLC was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.