1760199806 NPI number — GRACE & MERCY PERSONAL CARE PROVIDER LLC

Table of content: (NPI 1760199806)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760199806 NPI number — GRACE & MERCY PERSONAL CARE PROVIDER LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GRACE & MERCY PERSONAL CARE PROVIDER LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760199806
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
24224 MS HIGHWAY 15
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MATHISTON
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
39752-6876
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-263-3194
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
63 GWENN RAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUPORA
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39744-3403
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-258-1018
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/28/2022

Additional Information

Authorized Official

Authorized Official Last Name:
PITTMAN
Authorized Official First Name:
OLEAN
Authorized Official Middle Name:
DENISE
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
662-262-3194

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 385H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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