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GRACEFUL HOME SERVICES LLC
NPI 1619647179
Day Training, Developmentally Disabled Services in Mulberry, FL

Active since September 16, 2021
2236 BLACKWOOD DR, MULBERRY, FL 33860(863) 258-4147 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2021, Sep 16, 2021 (2 updates tracked since 2021).

About Graceful Home Services Llc NPPES

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

GRACEFUL HOME SERVICES LLC (NPI 1619647179) is a healthcare organization registered as a day training, developmentally disabled services in Mulberry, Florida and active in the NPI registry since September 2021. The organization lists Nichole Robertson, Owner, as its authorized official.

NPPES Registry Identity

NPI1619647179
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameGRACEFUL HOME SERVICES LLC
Location Address2236 BLACKWOOD DRMulberry, FL 33860-5500
Mailing Address2236 Blackwood DrMulberry, FL 33860-5500 · (863) 258-4147
Phone(863) 258-4147
Organization SubpartNo
Authorized OfficialNichole RobertsonOwner · (863) 258-4147
Enumeration DateSeptember 16, 2021
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1619647179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X
2236 BLACKWOOD DR, Mulberry, FL 33860
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Other Identifiers 1

Medicaid105551700FL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICHOLE ROBERTSON
Adult Companion
2236 BLACKWOOD DR
MULBERRY, FL 33860
Polk County (863) 258-4147

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 Home Services LLC's NPI number?

The NPI number for Graceful Home Services LLC is 1619647179. It was assigned to this organization in the NPPES registry on September 16, 2021.

Where is Graceful Home Services LLC located?

Graceful Home Services LLC is located at 2236 Blackwood Dr, Mulberry, FL 33860. The listed phone number is (863) 258-4147.

What is Graceful Home Services LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Graceful Home Services LLC was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.