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GRACERIDGE INC
NPI 1194287425
Technician - Attendant Care Provider in Jonesboro, AR

Active since April 04, 2019
3909 HILL DR, JONESBORO, AR 72401(870) 935-5961 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2019, Apr 4, 2019 (2 updates tracked since 2019).

About Graceridge Inc NPPES

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

GRACERIDGE INC (NPI 1194287425) is a healthcare organization registered as an attendant care provider in Jonesboro, Arkansas and active in the NPI registry since April 2019. The organization lists Kelly Grojean, President, as its authorized official.

NPPES Registry Identity

NPI1194287425
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameGRACERIDGE INC
Location Address3909 HILL DRJonesboro, AR 72401-8850
Mailing Address902 Chestnut StJonesboro, AR 72401-3801 · (870) 530-9706
Phone(870) 935-5961
Organization SubpartNo
Authorized OfficialKelly GrojeanPresident · (870) 530-9706
Enumeration DateApril 4, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1194287425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
3909 HILL DR, Jonesboro, AR 72401
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Other Identifiers 1

Medicaid223545732AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Graceridge Inc's NPI number?

The NPI number for Graceridge Inc is 1194287425. It was assigned to this organization in the NPPES registry on April 4, 2019.

Where is Graceridge Inc located?

Graceridge Inc is located at 3909 Hill Dr, Jonesboro, AR 72401. The listed phone number is (870) 935-5961.

What is Graceridge Inc's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Graceridge Inc was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.