MEDICARE: GRACEFUL NURSE'S LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	253Z00000X	MD
2	251J00000X	Nursing Care Agency	251J00000X	MD

General Provider Information

NPI Number	:	1013212521
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEFUL NURSE'S LLC

Provider Business Mailing Address
First Line	:	1836 METZEROTT RD
Second Line	:	SUITE 1425
City	:	ADELPHI
State	:	MD
Zip	:	20783-3475
Country	:	US
Telephone Number	:	240-593-1547
Fax Number	:	301-755-5945

Provider Business Practice Location Address
First Line	:	1836 METZEROTT RD
Second Line	:	SUITE 1425
City	:	ADELPHI
State	:	MD
Zip	:	20783-3475
Country	:	US
Telephone Number	:	240-593-1547
Fax Number	:	301-755-5945

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. GRACE NYUYKI ADEMBUH
Credential	:
Telephone Number	:	240-593-1547

Provider Enumeration Date	:	01/13/2011
Last Update Date	:	01/13/2011

Similar Medicare Providers

1184428468 — BENADETTE NGA MUTA
Practice Location Address:

1836 METZEROTT RD
ADELPHI, MD
20783-3475

Practice Phone: 202-290-7873
Practice Fax:

1114108636 — DR. VINCENT H DAVIS DDS
Practice Location Address:

1836 METZEROTT RD , SUITE 118
ADELPHI, MD
20783-3475

Practice Phone: 301-445-5800
Practice Fax: 301-445-5884

1689937237 — DOROTHEE NGO MAAH
Practice Location Address:

1836 METZEROTT RD , 1227
ADELPHI, MD
20783-3475

Practice Phone: 240-274-5232
Practice Fax:

1154685717 — MARY B STEVEN
Practice Location Address:

1836 METZEROTT RD , NO. 627
ADELPHI, MD
20783-3475

Practice Phone: 240-608-9445
Practice Fax:

1437492808 — EVARISTUS MBANWEI TENDON HHA
Practice Location Address:

1836 METZEROTT RD
ADELPHI, MD
20783-3475

Practice Phone: 202-545-0935
Practice Fax: 202-545-0176

1154845865 — SULE JAJA
Practice Location Address:

1836 METZEROTT RD
ADELPHI, MD
20783-3475

Practice Phone: 301-326-7076
Practice Fax:

Directions to “GRACEFUL NURSE'S LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.