Forever Grace LLC

Key facts

NPI

1245906304

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

FOREVER GRACE LLC

Practice address

3184 Barland Rd
Pattison, MS 39144-9439

Phone

(601) 617-5770

Fax

(601) 535-2307

NPI assigned

Aug 19, 2021

Organization subpart

No

Authorized official

Name

Mrs. Nita Gean Ward NPI 1487200325

Title

Partner

Phone

(601) 617-5770

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nita Gean Ward Attendant Care Provider · Pattison, MS · NPI 1487200325
  NPD Authorized official

National Provider Directory

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 19, 2021.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1245906304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 BARLAND RD",
            "city": "PATTISON",
            "state": "MS",
            "postal_code": "391449439",
            "telephone_number": "601-617-5770",
            "fax_number": "601-535-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 BARLAND RD",
            "city": "PATTISON",
            "state": "MS",
            "postal_code": "391449439",
            "telephone_number": "601-617-5770",
            "fax_number": "601-535-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "NITA",
        "authorized_official_middle_name": "GEAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "601-617-5770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@forevagrace.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3184 Barland Rd",
            "city": "Pattison",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391449439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pattison, MS

• Elite Medical Transportation, LLC
• Louise Ellis
• Nita Gean Ward

All providers in Pattison, MS · Home Health Agency in Mississippi