Healthcare Provider Details

I. General information

NPI: 1174488621
Provider Name (Legal Business Name): GRACIES HOME CARE SERVICES CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 MAIN ST
STRATFORD CT
06614-4118
US

IV. Provider business mailing address

3476 MAIN ST
STRATFORD CT
06614-4118
US

V. Phone/Fax

Practice location:
  • Phone: 203-690-1963
  • Fax: 203-690-1966
Mailing address:
  • Phone: 203-690-1963
  • Fax: 203-690-1966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. ALFRED EDWARD CRISCUOLO
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 203-627-5533