Healthcare Provider Details

I. General information

NPI: 1932340015
Provider Name (Legal Business Name): GRACIOUS CARE HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 S CENTRAL EXPY STE 1F
RICHARDSON TX
75080-7412
US

IV. Provider business mailing address

10450 WHISTLE STOP LN APT 1010
FRISCO TX
75033-1092
US

V. Phone/Fax

Practice location:
  • Phone: 972-598-0871
  • Fax: 972-918-9229
Mailing address:
  • Phone: 314-703-8622
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SUCHI MODI
Title or Position: OWNER
Credential:
Phone: 314-703-8622