GRACEFUL RESIDENTIAL LLC
NPI 1790592012
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Jasper, IN
About Graceful Residential Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRACEFUL RESIDENTIAL LLC (NPI 1790592012) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Jasper, Indiana and active in the NPI registry since December 2024. The organization lists Richard Ogachi Areba, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Residential LLC's NPI number?
The NPI number for Graceful Residential LLC is 1790592012. It was assigned to this organization in the NPPES registry on December 11, 2024.
Where is Graceful Residential LLC located?
Graceful Residential LLC is located at 49 Arlington Arlington Court, Jasper, IN 47546. The listed phone number is (612) 205-1423.
What is Graceful Residential LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Graceful Residential LLC was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Graceful Residential Llc · NPI 1790592012
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Jasper, Indiana. Organization record, active in the CMS NPPES registry since December 11, 2024.
## Identity
- **NPI:** 1790592012 (Entity type: Organization)
- **Enumerated:** December 11, 2024
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Richard Areba, CEO
## Practice location
- **Address:** 49 ARLINGTON, ARLINGTON COURT, Jasper, IN 47546-3552
- **Phone:** (612) 205-1423
## Record status
- **NPPES last updated:** December 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1790592012) · Data from the CMS NPPES public registry.