Grace Personal Care 1 LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

GRACE PERSONAL CARE 1 LLC

Practice address

10505 Boney Ave Ste a
Diberville, MS 39540-2407

Phone

(716) 603-5850

NPI assigned

Jul 23, 2026

Last updated

Jul 23, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

GRACE PERSONAL CARE 1 LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mary J Simmons

Title

Owner

Phone

(716) 603-5850

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary L Simmons

  • In Home Supportive Care Agency
  • D'Iberville, MS
  • NPI 1760308084
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1073434205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 BONEY AVE STE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402407",
            "telephone_number": "716-603-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 BONEY AVE STE A",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402407",
            "telephone_number": "716-603-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PERSONAL CARE 1 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACE PERSONAL CARE 1 LLC",
        "enumeration_date": "2026-07-23",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-603-5850",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magan Gilbert, FNP
• Ayanna Ettann Gill-Cooper
• Anne Weaver Gomila, MS, OTR/L
• Germaine Nickole Gottsche, DMD
• Scarlet Gould, DNP
• Chasty Patrice Grady, PHARMD
• Greenbriar Nursing Center, Inc.
• Nichole Caleb Anastasia Gricreria Switzer
• Gulf Coast Hospice, LLC
• Carol Ann Hall, D.O.

• Adult Companion in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Adult Companion in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.