# GRACEFUL GUARDIANS & CAREGIVERS, LLC

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

## Provider details

- **NPI number:** 1467289298
- **Authorized official:** KENYA YAKESHA SINGLETON RN (ADMINISTRATOR)
- **Authorized official phone:** (870) 310-9137

## Contact information

- **Practice address:** 708 E 4TH ST, EL DORADO, AR 71730-4714
- **Practice address phone:** (870) 310-9137
- **Mailing address:** 708 E 4TH ST, EL DORADO, AR 71730-4714
- **Mailing address phone:** (870) 310-9137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA2000X | Administrator Registered Nurse | — | NULL | — |
| 163WA2000X | Administrator Registered Nurse | — | — | — |
| 163WC0400X | Case Management Registered Nurse | — | NULL | — |
| 163WC0400X | Case Management Registered Nurse | — | — | — |
| 163WC1500X | Community Health Registered Nurse | — | NULL | — |
| 163WC1500X | Community Health Registered Nurse | — | — | — |
| 163WC2100X | Continence Care Registered Nurse | — | NULL | — |
| 163WC2100X | Continence Care Registered Nurse | — | — | — |
| 163WP2201X | Ambulatory Care Registered Nurse | — | NULL | — |
| 163WP2201X | Ambulatory Care Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | NULL | — |
| 3747A0650X | Attendant Care Provider | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 09/19/2024