Healthcare Provider Details

I. General information

NPI: 1811716194
Provider Name (Legal Business Name): GRACEFUL HOME HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2024
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E 10TH ST STE E
TRACY CA
95376-4058
US

IV. Provider business mailing address

35 E 10TH ST STE E
TRACY CA
95376-4058
US

V. Phone/Fax

Practice location:
  • Phone: 209-278-9072
  • Fax:
Mailing address:
  • Phone: 209-278-9072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: GURKIRAT KAUR
Title or Position: CEO/CFO, SECRETARY
Credential:
Phone: 209-813-3458