BERNADETTE GRAVES
NPI 1134007396
In Home Supportive Care in Greensboro, NC

Active since August 25, 2025
125 SHORE LAKE DR APT C, GREENSBORO, NC 27455(757) 287-4185 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • In Home Supportive Care

About BERNADETTE GRAVES

This page provides the complete NPI Profile along with additional information for Bernadette Graves, a provider established in Greensboro, North Carolina with a medical specialization in In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1134007396 assigned on August 2025. The practitioner's primary taxonomy code is 253Z00000X with license number 480257 (NC). The provider is registered as an individual and his NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1134007396 Verify this NPI
Provider Name
BERNADETTE GRAVES
Gender
Male
Entity Type
Individual
Location Address
125 SHORE LAKE DR APT C GREENSBORO, NC 27455
Location Phone
(757) 287-4185
Mailing Address
125 SHORE LAKE DR APT C GREENSBORO, NC 27455
Mailing Phone
(757) 287-4185
Is Sole Proprietor?
Yes
Enumeration Date
08-25-2025
Last Update Date
08-27-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License No.
480257
License State
NC
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1376K00000XNursing Service Related Providers

Nurse's Aide

480257 (NC)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134007396, enumerated as an "individual" on August 25, 2025.

The provider is located at 125 SHORE LAKE DR APT C GREENSBORO, NC 27455 and the phone number is (757) 287-4185.

In Home Supportive Care with taxonomy code 253Z00000X.