# GRACIOUS LIFE CARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073483152
- **Authorized official:** JUDITH ADJEI FNP (CEO)
- **Authorized official phone:** (646) 420-9805

## Contact information

- **Practice address:** 201 SOUTH AVE STE 204, POUGHKEEPSIE, NY 12601-4836
- **Practice address phone:** (646) 420-9805
- **Mailing address:** 201 SOUTH AVE STE 204, POUGHKEEPSIE, NY 12601-4836
- **Mailing address phone:** (646) 420-9805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202C00000X | Independent Medical Examiner Physician | — | NULL | Yes |
| 202C00000X | Independent Medical Examiner Physician | — | — | Yes |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | — |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/05/2025
- **Last updated:** 11/05/2025