GRACIOUS LIFE CARE LLC NPI 1073483152

NPI Information

  • NPI: 1073483152
  • Provider Name: GRACIOUS LIFE CARE LLC
  • Classification: Independent Medical Examiner - 202C00000X
  • Entity Type: Organization
  • Address: 201 SOUTH AVE STE 204
    POUGHKEEPSIE, NY
    ZIP 12601
  • Phone: (646) 420-9805

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NPI Details

GRACIOUS LIFE CARE LLC is an independent medical examiner in Poughkeepsie, NY. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. GRACIOUS LIFE CARE LLC NPI is 1073483152. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 SOUTH AVE STE 204
POUGHKEEPSIE, NY
ZIP 12601-836
Phone: (646) 420-9805

The provider's authorized official is Judith Adjei .
The authorized official title is Ceo and has the following contact phone number (646) 420-9805.

The enumeration date for this NPI number is 11/5/2025 and was last updated on 11/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LX0106XNurse PractitionerOccupational HealthNo
2261QH0100XClinic/CenterHealth ServiceNo
3202C00000XIndependent Medical ExaminerYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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