OrganizationActive
Gracious Soul Home Care LLC
NPI 1952172728 · Home Health Agency · Mandan, ND
Provider details
- NPI number
- 1952172728
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nyamah Keymah, Cna(701) 989-8872
Specialties & taxonomies
Agencies
- Community Based Hospice Care Agency251G00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
- Adult Companion372600000X
Nursing Service Related Providers
- Home Health Aide374U00000X
Nursing Service Related Providers
- Nurse's Aide376K00000X
Nursing Service Related Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4719 Northbay Dr Se
Mandan, ND 58554-4787
Phone: (701) 527-5178
Approximate (ZIP-level) locationGet directions
Mailing address
4719 Northbay Dr Se
Mandan, ND 58554-4787
Registry dates
- Enumerated
- 2024-01-11
- Last updated
- 2024-01-11
- Certified
- 2024-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.