Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gracious Soul Home Care LLC

Organization Home Health Agency · NPI 1952172728

Gracious Soul Home Care LLC is a Home Health Agency in Mandan, North Dakota. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
7
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4719 Northbay Dr SE
Mandan, ND 58554-4787
Phone: (701) 527-5178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Agency (primary) Taxonomy 251E00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Companion Taxonomy 372600000X
Home Health Aide Taxonomy 374U00000X
Nurse's Aide Taxonomy 376K00000X

Record details

NPI number1952172728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nyamah Keymah — Cna · (701) 989-8872
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 10, 2024
Mailing address4719 Northbay Dr Se, Mandan, ND 58554-4787

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