Organization provider

GRATEFULHEALER, LLC

CMS NPPES lists GRATEFULHEALER, LLC as an organization provider record with NPI 1164016762. The current record reports a primary practice location in ABERDEEN, NJ and primary taxonomy code 111N00000X.

NPI 1164016762Record type Type 2Primary taxonomy 111N00000X

Type 2 NPIs identify organizations such as practices, groups, and facilities; the NPI type alone does not establish a specific organization category. How to read this profile

01

Practice locations

  1. Primary practice location
    1212 RTE 34 STE 27ABERDEEN, NJ 077471903

Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.

02

Taxonomy information

  • 111N00000XPrimary reported taxonomy
  • 171100000XAdditional reported taxonomy

Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.

03

NPI record information

NPI status
Enumerated in NPPES
Enumeration date
February 24, 2021

An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.