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General NPI Number Information
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NPI Number | 1811716194
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Entity Type | Organization
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Legal Business Name | GRACEFUL HOME HEALTH INC
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 35 E 10TH ST STE E
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City | TRACY
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State | CA
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Zip | 95376-4058
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Country | US
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Telephone | 209-278-9072
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Fax |
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Provider Business Mailing Address
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Address Line | 35 E 10TH ST STE E
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City | TRACY
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State | CA
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Zip | 95376-4058
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Country | US
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Telephone | 209-278-9072
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Fax |
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Authorized Official
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Title or Position | CEO/CFO, SECRETARY
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Name | GURKIRAT KAUR
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Credential |
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Telephone | 209-813-3458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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