Grace and Mercy Health Care Services,LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

326285 Issued in MS

Legal business name

GRACE AND MERCY HEALTH CARE SERVICES,LLC

Doing business as

Grace and Mercy Health Care Services, LLC

Practice address

875 Northpark Dr Ste 100
Ridgeland, MS 39157-5223

Phone

(601) 809-9031

Fax

(601) 709-3581

NPI assigned

Jan 19, 2017

Last updated

Sep 30, 2020By 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

Mrs. Manervia LeeNPI 1437509312

Title

License Practical Nurse , Founder,

Phone

(601) 809-9031

Specialties & licenses 5

Addresses

Other names 1

• Grace and Mercy Health Care Services, LLC Doing business as

Electronic endpoints 1

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.

• Manervia Lee

  • Licensed Practical Nurse
  • Jackson, MS
  • NPI 1437509312
  NPD Authorized official

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1518404276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 NORTHPARK DR STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575223",
            "telephone_number": "601-809-9031",
            "fax_number": "601-709-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 NORTHPARK DR STE 100",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575223",
            "telephone_number": "601-809-9031",
            "fax_number": "601-709-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE AND MERCY HEALTH CARE SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MANERVIA",
        "authorized_official_title_or_position": "LICENSE PRACTICAL NURSE , FOUNDER,",
        "authorized_official_telephone_number": "601-809-9031",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MS",
            "license": "326285",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@graceandmercyhealthcare.net",
            "affiliation": "N",
            "address_1": "875 Northpark Dr Ste 100",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391575223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Grace and Mercy Health Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phoebe Gordon, MT
• Bethany Harrelson Gough, MS CCC-SLP
• Gptrs II (Genesis Physical Therapy and Rehabilitation Services LLC)
• Gptrs II (Genesis Physical Therapy and Rehabilitation Services)
• Gptrs II (Genesis Physical Therapy and Rehabilitation Services)
• Grace Independent Living Store, LLC
• Grace Medical Supply, LLC
• Grace Mobile Care
• Chiquita Grady, SLP
• Will H Graham, PHARMD

• Nursing Care Agency in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.