Healthcare Provider Details

I. General information

NPI: 1659252286
Provider Name (Legal Business Name): GRACEFUL HOME HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2025
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9711 BROOKLYNS WAY N
SEMMES AL
36575-6280
US

IV. Provider business mailing address

9711 BROOKLYNS WAY N
SEMMES AL
36575-6280
US

V. Phone/Fax

Practice location:
  • Phone: 251-591-8027
  • Fax:
Mailing address:
  • Phone: 251-591-8027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. CORSICA MARSAI LAMBERT
Title or Position: OWNER
Credential: LPN
Phone: 251-591-8027