Healthcare Provider Details

I. General information

NPI: 1104793223
Provider Name (Legal Business Name): GRACEFUL DAYS ADULT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2025
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5265 CAROLINA HWY
DENMARK SC
29042-1685
US

IV. Provider business mailing address

5265 CAROLINA HWY
DENMARK SC
29042-1685
US

V. Phone/Fax

Practice location:
  • Phone: 843-986-7981
  • Fax:
Mailing address:
  • Phone: 843-986-7981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: OLGA FIELDS HAMILTON
Title or Position: CEO
Credential:
Phone: 843-986-7981