Provider Demographics
NPI:1922893726
Name:GRACEFUL HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:GRACEFUL HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANYILEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:380-895-6403
Mailing Address - Street 1:7437 CALLIE ST
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1326
Mailing Address - Country:US
Mailing Address - Phone:380-895-6403
Mailing Address - Fax:
Practice Address - Street 1:7437 CALLIE ST
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-1326
Practice Address - Country:US
Practice Address - Phone:380-895-6403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-11
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health