MEDICARE: GRACEFUL HANDS

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1831035575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACEFUL HANDS

Provider Business Mailing Address
First Line	:	5837 N 64TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-1919
Country	:	US
Telephone Number	:	414-326-7761
Fax Number	:

Provider Business Practice Location Address
First Line	:	5837 N 64TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-1919
Country	:	US
Telephone Number	:	414-326-7761
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DIAMOND M SMITH
Credential	:
Telephone Number	:	414-326-7761

Provider Enumeration Date	:	04/27/2026
Last Update Date	:	04/27/2026

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Directions to “GRACEFUL HANDS ” Practice Location

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