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GRACEFUL GROVE
NPI 1649096041
Custodial Care Facility in Las Vegas, NV

Active since December 02, 2024CLIA 29D2333136 · Waiver
4240 AL CARRISON ST, LAS VEGAS, NV 89129(702) 606-1993 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Graceful Grove NPPES

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

GRACEFUL GROVE (NPI 1649096041) is a healthcare organization registered as a custodial care facility in Las Vegas, Nevada and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through October 29, 2027 and lists Nicholas Klapp, Owner, as its authorized official.

NPPES Registry Identity

NPI1649096041
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameGRACEFUL GROVE LLC
Location Address4240 AL CARRISON STLas Vegas, NV 89129-4845
Mailing Address4240 Al Carrison StLas Vegas, NV 89129-4845 · (702) 606-1993
Phone(702) 606-1993
Organization SubpartNo
Authorized OfficialNicholas KlappOwner · (702) 606-1993
Enumeration DateDecember 2, 2024
NPPES CertifiedDecember 2, 2024
✔ NPI 1649096041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
4240 AL CARRISON ST, Las Vegas, NV 89129
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Other Names 1

Doing Business AsGraceful Grove

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 29D2333136

Graceful Grove · Las Vegas, NV
Active · expires Oct 29, 2027
CLIA Number29D2333136
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorMichelle M Violet
Laboratory Phone(702) 413-6995
Laboratory LocationGraceful Grove4240 Al Carrison St, Las Vegas, NV 89129
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

AS TIME GOES BY
Alzheimer Center (Dementia Center)
4240 AL CARRISON ST
LAS VEGAS, NV 89129
Clark County (702) 658-3300

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 Grove LLC's NPI number?

The NPI number for Graceful Grove LLC is 1649096041. It was assigned to this organization in the NPPES registry on December 2, 2024. The provider is doing business as Graceful Grove.

Where is Graceful Grove LLC located?

Graceful Grove LLC is located at 4240 Al Carrison St, Las Vegas, NV 89129. The listed phone number is (702) 606-1993.

What is Graceful Grove LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Graceful Grove LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2333136) is associated with this NPI, valid through October 29, 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 Grove LLC was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.