Organization · NPI-2

Gracefully Aging LLC

In Home Supportive Care · Ocoee, FL

NPI number1578032967
StatusActive
Last updated in NPPESFeb 9, 2026

Details

NPI
1578032967
Entity type
Organization (NPI-2)
Legal business name
Gracefully Aging LLC
Organization subpart
No
Enumeration date
Nov 15, 2018
Certification date
Feb 9, 2026
Last updated
Feb 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes
261QD1600X Clinic/Center, Developmental Disabilities––
332U00000X Home Delivered Meals––

Practice location

1837 Lochshyre Loop
Ocoee, FL 34761-9160

Phone 407-844-5840

Mailing address

1837 Lochshyre Loop
Ocoee, FL 34761-9160

Authorized official

Nakia Starker
Manager
4078445840

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