Carissa Grace Group Home Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CARISSA GRACE GROUP HOME INC.

Doing business as

Carissa Care Adult Day Care
Carissa Grace Disability Support
Carissa Grace Home Care Services3 more in Other names

Practice address

334 Fairview Ave
Greenville, MS 38701-4882

Phone

(662) 822-3102

NPI assigned

Sep 24, 2025

Last updated

Sep 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Lavern Hendrix

Title

Owner

Phone

(662) 822-3102

Specialties & licenses 1

Addresses

Other names 6

• Carissa Care Adult Day Care Doing business as
• Carissa Grace Disability Support Doing business as
• Carissa Grace Home Care Services Doing business as
• Carissa Grace Mental Health Services Doing business as
• Carissa Grace Respite Care Doing business as
• Carissa Grace Senior Care Services Doing business as

Locations

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1336012798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 FAIRVIEW AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 FAIRVIEW AVE",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387014882",
            "telephone_number": "662-822-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARISSA GRACE GROUP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "HENDRIX",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LAVERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-822-3102"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carissa Care Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carissa Grace Disability Support",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carissa Grace Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carissa Grace Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carissa Grace Respite Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carissa Grace Senior Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.