Healthcare Provider Details

I. General information

NPI: 1497580468
Provider Name (Legal Business Name): GRACEFUL HANDS HOME CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2024
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202D US HIGHWAY 13 BYP
WINDSOR NC
27983-7115
US

IV. Provider business mailing address

PO BOX 33
WINDSOR NC
27983-0033
US

V. Phone/Fax

Practice location:
  • Phone: 252-484-1149
  • Fax: 252-484-1020
Mailing address:
  • Phone: 252-484-1149
  • Fax: 252-484-1020

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: DAWN B. CHERRY
Title or Position: RN/ DIRECTOR
Credential:
Phone: 252-325-4570