Lanita Shavonn Granger, HOMECARE PROVIDER

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Practice address

314 43Rd Ave
Meridian, MS 39307-6800

Phone

(601) 678-9239

Fax

(601) 453-5920

NPI assigned

Feb 28, 2022

Last updated

Feb 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1447906565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 43RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393076800",
            "telephone_number": "601-678-9239",
            "fax_number": "601-830-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 43RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393076800",
            "telephone_number": "601-678-9239",
            "fax_number": "601-453-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "LANITA",
        "middle_name": "SHAVONN",
        "credential": "HOMECARE PROVIDER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MS",
            "license": "LCB20190000075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Graham, RNFA
• Joshua Thomas Graham, PHARMD
• Leah Moore Graham, MOT
• Leon J. Graham, M.D.
• Robert E Gramling III, CRNA
• Frederick Y. Grant, M.D.
• Jacqueline Grant
• Gregory J. Gravell, M.D.
• Jameshia Dachelle Graves, PHARMD.
• Jayden Graves, PTA

• Adult Care Home Facility in Meridian, MS
• Providers in Meridian, MS by specialty
• Adult Care Home Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.