GRACEFUL GROVE LLC NPI 1649096041

NPI Information

  • NPI: 1649096041
  • Provider Name: GRACEFUL GROVE LLC
  • Classification: Custodial Care Facility - 311Z00000X
  • Entity Type: Organization
  • Doing Business As: GRACEFUL GROVE
  • Address: 4240 AL CARRISON ST
    LAS VEGAS, NV
    ZIP 89129
  • Phone: (702) 606-1993

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NPI Details

GRACEFUL GROVE LLC is a custodial care facility in Las Vegas, NV. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. GRACEFUL GROVE LLC NPI is 1649096041. The provider is registered as an organization entity type.
The provider Is Doing Business As Graceful Grove.

The provider's business location address is:

4240 AL CARRISON ST
LAS VEGAS, NV
ZIP 89129-845
Phone: (702) 606-1993

The provider's authorized official is Nicholas Klapp .
The authorized official title is Owner and has the following contact phone number (702) 606-1993.

The enumeration date for this NPI number is 12/2/2024 and was last updated on 12/2/2024.

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
1311500000XAlzheimer Center (Dementia Center)No
2311Z00000XCustodial Care FacilityYes

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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