Provider Demographics
NPI:1659252286
Name:GRACEFUL HOME HEALTH
Entity type:Organization
Organization Name:GRACEFUL HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CORSICA
Authorized Official - Middle Name:MARSAI
Authorized Official - Last Name:LAMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:251-591-8027
Mailing Address - Street 1:9711 BROOKLYNS WAY N
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575-6280
Mailing Address - Country:US
Mailing Address - Phone:251-591-8027
Mailing Address - Fax:
Practice Address - Street 1:9711 BROOKLYNS WAY N
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-6280
Practice Address - Country:US
Practice Address - Phone:251-591-8027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251J00000XAgenciesNursing Care